Gallbladder Volvulus: Diagnosis and Management of a Rare Cause of Acalculous Cholecystitis

Review Data

Q: Is the topic relevant to the journal area of interest? Is it contemporary and interesting for

researchers?

A: Excellent

Abstract & Keywords

Q: Are all required components included in the abstract? Are the keywords appropriately chosen?

A: Very good

Goal

Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?

A: Very good

Structure

Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?

A: Good

Tools and Methods

Q: Are methods the author uses adequate and well used?

A: Very good

Discussion & Conclusion

Q: Is it related to the results presented before? Do you consider them as coherent?

A: Very good

Comments:

The Discussion explains the challenges in treating the patient in the present case clearly. It also offers useful suggestions with respect to the treatment regimen. The discussion highlights a “Phrygian cap” aspect of the gallbladder which led to the diagnosis of gallbladder volvulus. Surgery delay is associated to a high rate of septic complications (16%) and mortality. Therefore, a fast and specific diagnosis allowed performing surgical intervention within few hours from admission. The case report Concludes that a detailed evaluation of ultrasonographic imaging in search for pathognomonic signs of torsion is fundamental for avoiding an unsuccessful non-operative treatment. It considers emergency cholecystectomy as the gold standard for treatment.

Literature

Q: Does the author utilize relevant literature?

A: Good

Author's knowledge

Q: What is the level of the author’s knowledge? Does the author utilize all recent contributions relevant to the topic?

A: Very good

Length

Q: Is the length of the paper adequate to the significance of the topic? Do you suggest shortening the paper without losing its value?

A: Good

Figures & Tables

Q: Does the author use them suitably? Are legend and notations clear?

A: Good

Writing style

Q: Is it clear and understandable?

A: Good

Further comments on the paper

Comments: This case report and review of the literature presents the case of an 81-year-old woman who underwent laparoscopic cholecystectomy after pre-operative ultrasound diagnosis of gallbladder volvulus. Gallbladder volvulus is a rare life-threatening condition which clinically presents as acute abdomen which can rapidly evolve in peritonitis and sepsis and due to its rarity, gallbladder volvulus has been unfrequently reported in the literature. Despite imaging innovations, a precise diagnosis is made in less than 10% of the cases. The study is of significance as the case reports some indications for allowing an early diagnosis and attempting the prompt treatment of this rare condition.

Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

If you have any questions and clarifications you can write to the journal.

Thanks,
Science Repository Team