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KMID : 0371320020620040355
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Journal of the Korean Surgical Society
2002 Volume.62 No. 4 p.355 ~ p.358
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Torsion of the Gallbladder
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Lee Chul-Hee
Cho Hyeon-Min
Suh Young-Jin
Won Yong-Sung
Chin Hyung-Min
Kim Joon-Gi
Park Woo-Bae
Chun Chung-Soo
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Abstract
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Torsion of the gallbladder is a relatively rare disease and is generally due
to abnormal anatomical fixation of the gallbladder. It occurs when the
gallbladder twists axially, with subsequent occlusion of bile or blood flow
that requires prompt surgical treatment. We report here a case of torsion of
the gallbladder in a 75-year-old man with right upper quadrant abdominal
pain and heart failure. Ultrasonography and computed tomography demonstrated
a distended gallbladder that contained no stones. Since the symptoms did not
respond to antibiotics, a cholecystectomy was performed. We found the
gallbladder to be twisted around its pedicle and the patient had an
uneventful postoperative course. Gallbladder torsion should be treated early
particularly in high risk patient. Since its first description a century
ago, the diagnosis of gallbladder torsion prior to operative exploration has
been extremely elusive. However, there are typical clinical and radiological
findings consistent with torsion of the gallbladder that should raise the
index of suspicion for this condition preoperatively. We present a case of
gallbladder torsion and discuss the pertinent literature concerning the
salient clinical features and diagnostic tests.
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KEYWORD
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