Volvulus of the Gallbladder: Case Reports

Volvulus of the Gallbladder: Case Reports

Author Info

Corresponding Author
Jean Gugenheim
Department of Digestive Surgery Archet Hospital, University of Nice Sohia Antipolis151, Route de Saint-Antoine de Ginestière 06200 Nice, France

A B S T R A C T

The volvulus of the gallbladder can be considered a clinical curiosity. However, we herein report three recent demonstrative consecutive cases. Female gender, advanced age and a thin constitution seem to represent common predisposing factors. A brutal and excrutiatingly painful presentation in the right hypochondrium contrast initially with seemingly normal vital parameters. Fever can be observed as well as signs of peritoneal irritation. An X-Ray of the abdomen can show a complete emptiness of the right flank and whole blood analysis can reveal an elevated leucocyte count predominantly neutrophilic. The torsion of the gallbladder thus presents itself as an acute cholecystitis with particularities catching the clinician's attention. The only anatomical predisposing factor resides in an anomaly of the mesocyst. The prognosis is driven by the delay to cholecystectomy as a fatal toxinic syndrome can be dreaded in this fragile population. Population's aging and possibilities to enlarge surgical indications in the elderly, enforces us to abandon the pejorative qualifier of « rare curiosity » attached to the gallbladder volvulus and define it as a clear entity in the gallbladder pathology.

Article Info

Article Type
Case Report
Publication history
Received: Mon 14, Oct 2019
Accepted: Mon 04, Nov 2019
Published: Fri 13, Dec 2019
Copyright
© 2023 Jean Gugenheim. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2019.05.19