ABSTRACT
Volvulus of the gallbladder is infrequent and is predominantly observed in elderly women, being related to anatomical abnormalities of the gallbladder which, associated with other factors, favor twisting. This is commonly diagnosed as acute cholecystitis, causing severe, acute abdominal pain with a rapid evolution which may lead to the death of the patient if emergency surgery is not performed. A case of gallbladder volvulus diagnosed as acute appendicitis is presented as is a review of the literature.
Subject(s)
Abdomen, Acute/etiology , Appendicitis/diagnosis , Gallbladder Diseases/diagnosis , Intestinal Obstruction/diagnosis , Aged , Aged, 80 and over , Diagnosis, Differential , Female , HumansABSTRACT
Anisakiasis is a parasitic infestation of increasing incidence in Spain. The case of a 75-years-old male diagnosed with gastric anisakiasis by endoscopy is presented. This case presents some peculiarities such as the previous ingestion of undercooked microwaved fish and the posterior serologic study (determination of IgE specific for Anisakis simplex) which confirmed the diagnosis. The importance of the endoscopic techniques in the diagnosis and treatment of gastric anisakiasis is emphasized.
