Gallbladder volvulus

Case contributed by Dr Krister Askaner

Presentation

Sudden abdominal pain. Nausea and vomit. No fever. Recently significant loss of weight. Elevated CRP and WBC. Midline palpable resistance .

Patient Data

Age: 80 years
Gender: Female
CT

Enlarged edematous gall bladder with wall thickening. The gall bladder is located outside its normal anatomic position and is horizontally oriented, a so called "free floating gall bladder". Slightly dilated intrahepatic bile ducts. Evidence of kyphoscoliosis and thin patient

Case Discussion

Surgery revealed a large necrotic gallbladder which was twisted 180° counterclockwise.

Gallbladder volvulus is a relatively rare condition and often not described pre-surgically.

Risk factors are described as follows:

  • old age
  • female gender (3:1)
  • thin patient
  • kyphoscoliosis
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Case information

rID: 65765
Published: 26th Jan 2019
Last edited: 27th Jan 2019
Inclusion in quiz mode: Included
Excluded from licensing
Institution: Skåne University Hospital

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