[Torsion of the gallbladder--a rare cause of acute cholecystitis]. / Die Torsion der Gallenblase -- eine seltene Ursache der akuten Cholecystitis.

Torsion of the gallbladder with onset of gangrene is a rare condition which is generally due to an abnormal anatomical variation: loss of the fixation of the organ to the inferior margin of the liver with the presence of a long mesocyst. This case shows that ultrasound is able to make the right diagnosis which was so often confirmed not before laparotomy. In the future lethality should be reduced by early operation.

In vitro and in vivo chemotaxis of guinea pig leukocytes toward leukotriene B4 and its w-oxidation products.

Leukotriene B4 (LTB4), 20-OH-LTB4, and 20-COOH-LTB4 were studied for their relative activities towards guinea pig peritoneal eosinophils and neutrophils during in vitro chemotaxis in modified Boyden chambers. The leukotrienes were also injected into guinea pig skin, and the cellular infiltrate in 4 hour biopsies was evaluated histologically. Eosinophils migrated more actively than neutrophils towards LTB4 in vitro, while in vivo, more neutrophils were observed. 20-OH-LTB4 was markedly less active than LTB4 in vivo and in vitro, and 20-COOH-LTB was barely active at all. Crude ionophore-stimulated neutrophil supernatants (ECF) were more active towards eosinophils than towards neutrophils, both in vivo and in vitro, compared to the pure leukotrienes. The data confirm the potent chemotactic properties of LTB4 for eosinophils and neutrophils, with less activity of its w-metabolites.