Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Surgery
Volume 2014 (2014), Article ID 902814, 2 pages
http://dx.doi.org/10.1155/2014/902814
Case Report

Gallbladder Torsion: A Diagnostic Challenge

Department of Surgery, Robina Hospital, 2 Bayberry Lane, Robina, QLD 4226, Australia

Received 18 January 2014; Accepted 14 April 2014; Published 8 May 2014

Academic Editor: Sigmund H. Ein

Copyright © 2014 Sharon Gabizon et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

80-year-old female presented with clinical findings suggestive of acute cholecystitis. Intraoperatively we discovered a dusky gallbladder with gangrenous patches and gallbladder torsion with 270 degrees clockwise rotation along the longitudinal axis. Gallbladder torsion is a rare cause of acute cholecystitis with less than 500 cases published in the literature. Gallbladder torsion should be included in the list of differential diagnoses in patients suspected of having acute cholecystitis especially when there are inconsistencies between clinical features and imaging. It is worth noting that 3-dimensional reconstructed CT may be useful in preoperative diagnosis of gallbladder torsion.