The diagnostic dilemma of gallbladder volvulus: Report of a Case

Anuradha R. Bhama, Abdi Ahari, Hui Sen Chong
2016 General Internal Medicine and Clinical Innovations  
Gallbladder volvulus is a rare condition that typically affects elderly patients who present with a presumed diagnosis of acute cholecystitis. Often preoperative imaging is unable to definitively diagnosis volvulus. A 90 year old female presented with a four day history of abdominal pain and was found to have peritoneal signs on examination. CT scan was obtained concerning for necrosis of the gallbladder. She was taken for emergent laparoscopic cholecystectomy, which was converted to an open
more » ... erted to an open procedure upon the realization of volvulus. The patient's postoperative recovery was uneventful and she was discharged to a nursing facility on postoperative day four. Gallbladder volvulus should be considered in the differential diagnosis of the elderly patient with presumed acute cholecystitis. Figure 1. CT scan demonstrating enlarged gallbladder (labelled GB) without stones. Bhama AR (2016) The diagnostic dilemma of gallbladder volvulus: Report of a case Volume 1(2): 26-29
doi:10.15761/gimci.1000109 fatcat:vcf3nvnppfberbgoilezdj3fju