Acute gallbladder torsion with gangrene and cholelithiasis – a rare condition

We report a case of a 75-year-old female with acute torsion of the gallbladder with gangrene and cholelithiasis. On admission, the patient underwent physical examination, laboratory blood analysis, abdominal ultrasound and plain abdominal x-ray. Due to the signs of acute abdomen and poor general con...

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Main Authors: Leon Kunišek, Miodrag Gudelj, Marko Zelić, Dorian Kršul, Juraj Kunišek
Format: Article
Language:English
Published: Sestre Milosrdnice University hospital, Institute of Clinical Medical Research 2016-01-01
Series:Acta Clinica Croatica
Subjects:
Online Access:https://hrcak.srce.hr/file/262514
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author Leon Kunišek
Miodrag Gudelj
Marko Zelić
Dorian Kršul
Juraj Kunišek
author_facet Leon Kunišek
Miodrag Gudelj
Marko Zelić
Dorian Kršul
Juraj Kunišek
author_sort Leon Kunišek
collection DOAJ
description We report a case of a 75-year-old female with acute torsion of the gallbladder with gangrene and cholelithiasis. On admission, the patient underwent physical examination, laboratory blood analysis, abdominal ultrasound and plain abdominal x-ray. Due to the signs of acute abdomen and poor general condition of the patient, urgent surgical procedure was indicated. Intraoperatively, the gallbladder was found to be greatly enlarged, gangrenous and greatly distended with 360° clockwise torsion around its mesentery. Cholecystectomy was performed. Gallbladder torsion is a rare surgical emergency which physicians should bear in mind when encountering patients with symptoms of acute cholecystitis. The only treatment for this condition is urgent cholecystectomy with prior detorsion. The mortality rate in patients not undergoing surgery is 100%.
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spelling doaj.art-c9419dd1847345ceb0589c7999ad75fa2024-04-15T14:05:48ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512016-01-0155.4.67167310.20471/acc.2016.55.04.22Acute gallbladder torsion with gangrene and cholelithiasis – a rare conditionLeon Kunišek0Miodrag Gudelj1Marko Zelić2Dorian Kršul3Juraj Kunišek4Rijeka University Hospital Center, Department of Abdominal Surgery, Rijeka, CroatiaRijeka University Hospital Center, Department of Abdominal Surgery, Rijeka, CroatiaRijeka University Hospital Center, Department of Abdominal Surgery, Rijeka, CroatiaRijeka University Hospital Center, Department of Abdominal Surgery, Rijeka, CroatiaThalassotherapia Crikvenica, Special Hospital for Medical Rehabilitation, Crikvenica, CroatiaWe report a case of a 75-year-old female with acute torsion of the gallbladder with gangrene and cholelithiasis. On admission, the patient underwent physical examination, laboratory blood analysis, abdominal ultrasound and plain abdominal x-ray. Due to the signs of acute abdomen and poor general condition of the patient, urgent surgical procedure was indicated. Intraoperatively, the gallbladder was found to be greatly enlarged, gangrenous and greatly distended with 360° clockwise torsion around its mesentery. Cholecystectomy was performed. Gallbladder torsion is a rare surgical emergency which physicians should bear in mind when encountering patients with symptoms of acute cholecystitis. The only treatment for this condition is urgent cholecystectomy with prior detorsion. The mortality rate in patients not undergoing surgery is 100%.https://hrcak.srce.hr/file/262514Gallbladder torsionGangreneCholelithiasisCholecystectomy
spellingShingle Leon Kunišek
Miodrag Gudelj
Marko Zelić
Dorian Kršul
Juraj Kunišek
Acute gallbladder torsion with gangrene and cholelithiasis – a rare condition
Acta Clinica Croatica
Gallbladder torsion
Gangrene
Cholelithiasis
Cholecystectomy
title Acute gallbladder torsion with gangrene and cholelithiasis – a rare condition
title_full Acute gallbladder torsion with gangrene and cholelithiasis – a rare condition
title_fullStr Acute gallbladder torsion with gangrene and cholelithiasis – a rare condition
title_full_unstemmed Acute gallbladder torsion with gangrene and cholelithiasis – a rare condition
title_short Acute gallbladder torsion with gangrene and cholelithiasis – a rare condition
title_sort acute gallbladder torsion with gangrene and cholelithiasis a rare condition
topic Gallbladder torsion
Gangrene
Cholelithiasis
Cholecystectomy
url https://hrcak.srce.hr/file/262514
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