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
From the case:
Gallbladder volvulus
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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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