A rare case of gallbladder torsion along the axis of body: a case report
Korean Journal of Hepato-Biliary-Pancreatic Surgery
; : 82-85, 2015.
Article
de En
| WPRIM
| ID: wpr-62588
Bibliothèque responsable:
WPRO
ABSTRACT
Abnormal attachment of the gallbladder to the liver is the main cause for gallbladder torsion. However, the present study reports a rare case of gallbladder torsion in which a portion of fundus is rotated along the axis of body. So far, very few similar cases have been reported. An 87-year-old woman complaining right upper quadrant abdominal pain for 4 days was admitted. Her body temperature was 38.5degrees C with moderate dehydration. A large tender mass was palpated on the right abdomen extending to the right iliac fossa. Computed tomography of abdomen showed a large cavity with a diameter of 15 cm containing a big stone and a small normal looking gallbladder. Ultrasonographic scan showed a twisted portion of the gallbladder torsion. During emergency laparotomy, the middle portion of the gallbladder was found to be twisted counterclockwise with huge gangrenous gallbladder distal. The proximal body of the gallbladder was spared and attached firmly to the liver. Cholecystectomy was performed and the patient was discharged 2 weeks later without postoperative complications. Histological findings of specimen were consistent with operative findings. The current study reports on a rare case of gallbladder torsion by reviewing previous studies.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Complications postopératoires
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Axis
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Température du corps
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Cholécystectomie
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Calculs biliaires
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Douleur abdominale
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Déshydratation
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Urgences
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Abdomen
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Vésicule biliaire
Limites du sujet:
Aged
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Aged80
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Female
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Humans
langue:
En
Texte intégral:
Korean Journal of Hepato-Biliary-Pancreatic Surgery
Année:
2015
Type:
Article