Abstract
Torsion of the gallbladder is an extremely rare cause of acute surgical abdomen. Although gallbladder torsion has been reported the diagnosis remains elusive and is often missed. A case of necrotizing gallbladder torsion is examined, and the literature is reviewed by the authors. History peak incidence and pathophysiology are discussed, and possible risk factors are identified. We conclude that torsion of the gallbladder is a condition that has minimal clinical findings.
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References
1.
Kitagawa
H
,
Nakada
K
,
Enami
T
, . Two cases of torsion of the gallbladder diagnosed preoperatively. J Pediatr Surg 1997 ; 32 :1567 –9 .
2.
Carter
R
,
Thompson
RJ
,
Brennan
LP.
Volvulus of the gallbladder. Surg Gynecol Obstet 1963 ;116 :105 –8 .
3.
Salman
A
,
Yildirgan
M
,
Celebi
F.
Posttraumatic gallbladder torsion in a child. J Pediatr Surg 1996 ;31 :1586 .
4.
Levene
A.
Acute torsion of gallbladder: Postmortem findings in 2 cases. Br J Surg 1958 ;45 :338 –40 .
5.
Leger
L
,
Debeyre
J
,
Maringarbe
A.
Volvulos de la vesicle biliaire. J Chir 1945 ;61 :21 –36 .
6.
Krabbel
M.
Die steil torsion der gallenblasse. Dtsch Z Chir 1920 , 154:76.
7.
Merine
D
,
Mezaine
M
,
Fishman
EK.
CT diagnosis of gallbladder torsion. J Comput Assist Tomogr 1987 ;11 :712 –3 .
8.
Safadi
RR
,
Abu-yousef
MM
,
Farah
AS
. Preoperative sonographic diagnosis of gallbladder torsion. J Ultrasound Med 1993 ;5 :296 –8 .
9.
Schroder
DM
,
Cusumano
DA.
Laparoscopic cholecystectomy for gallbladder torsion. Surg Laparosc Endosc 1985 ;5 :330 –4 .
10.
Gross
RE.
Congenital anomalies of the gallbladder: A review of 148 cases with report of double gallbladder. Arch Surg 1936 ;32 :131 –62 .
11.
Short
AR
,
Paul
RG.
Torsion of the gallbladder. Br J Surg 1934 ;22 :301 –9 .
12.
Yeh
H
,
Weiss
M
,
Gerson
C.
Torsion of the gallbladder: The ultrasonographic features. J Clin Ultrasound 1989 ;17 :123 –5 .
13.
Wellstad
M
,
Kam
J
,
Funston
MR.
Radiologic pointers to preoperative diagnosis of torsion of the gallbladder. South Afr Med J 1980 ;52 :980 –2 .
14.
Wang
GJ
,
Collin
M
,
Crossett
J
, . Bulls eye image of gallbladder volvulus. Clin Nucl Med 1987 ;12 :231 –2 .
15.
Cameron
EW
,
Beale
TJ
,
Pearson
RH.
Case report: Torsion of the gallbladder on ultrasound-differentiation from acalculous cholecystitis. Clin Radiol 1993 ;47 :285 –6 .
16.
Nguyen
T
,
Geraci
A
,
Bauer
JJ.
Laparoscopic cholecystectomy of gallbladder volvulus. Surg Endosc 1995 ;9 :519 –21 .
17.
Christoudias
GC.
Gallbladder volvulus with gangrene: Case report and review of the literature. J Soc Laparoendosc Surg 1997 ; 1 :167 –70 .
18.
Steiber
AC
,
Bauer
JJ.
Volvulus of the gallbladder. Am J Gastroenterol 1983 ;78 :96 –8 .
19.
Maingot
R.
Ptosis and volvulus of the gallbladder. Abdominal Operations. 7th Ed. Appleton and Lange , Stamford, CT , 1980 , pp 988 –90 .
20.
Alden
PB
,
Miller
JB
,
Gamble
WG.
Volvulus of the gallbladder: Report of two cases and review of the literature. Minn Med 1989 ;72 :653 –6 .
21.
Brasso
K
,
Rasmussen
OV.
Gallbladder torsion. Eur J Surg 1991 ;157 :493 –4 .
22.
Budd
DC
,
Fink
DL.
Volvulus of the gallbladder. NJ Med 1985 ;82 :803 –4 .
23.
Butsch
JL
,
Luchette
F.
Torsion of the gallbladder. Arch Surg 1985 ;120 :1323 .
24.
Chilton
CP
,
Mann
CV.
Torsion of the gallbladder in a nine year-old boy. J R Soc Med 1980 ;73 :141 –3 .
25.
Christensen
E.
Torsion of the gallbladder. Br Med J 1956 ; 12 :1160 .
26.
Daux
F.
Volvulus de la vesicule biliaire. J Chir 1925 ;25 : 356 –8 .
27.
Deysine
M
,
Pellicia
O.
Volvulus of the gallbladder. Am Surg 1966 ;32 :63 –4 .
28.
Echave
V
,
Hampson
LG.
Volvulus of the gallbladder. Can J Surg 1975 ;18 :439 –42 .
29.
Gonzalez-Fisher
RF
,
Vargas-Ramirez
L
,
Rescala-Baca
E
,
Dergal-Badue
E.
Gallbladder volvulus. HPB Surg 1993 ;7 :147 –8 .
30.
Gurses
N
,
Buyukpamukcu
N
,
Hicsonmez
A.
Torsion of the gallbladder in a child. Turk J Pediatr 1979 ;21 :7 –10 .
31.
Hublet
B
,
Bastaits
S
,
Hublet
D.
Torsion de la vesicule biliaire chez l'enfant. Chir Ped 1979 ;20 :43 –4 .
32.
Kersten
HH.
Torsion of the gallbladder. J Iowa Med Soc 1972 ;62 :287 .
33.
Lagon
MG
,
Creedon
PJ.
Torsion of the gallbladder. Ohio State Med J 1967 ;63 :68 –9 .
34.
Lal
RB
,
Pepper
M
,
Puestow
CB.
Torsion of the gallbladder. Arch Surg 1968 ;97 :750 –2 .
35.
Levard
G
,
Weil
D
,
Barret
D
,
Barbier
J.
Torsion of the gallbladder in children. J Pediatr Surg 1994 ;29 :569 –70 .
36.
Lin
HC
,
Piro
JF.
Acute torsion of the gallbladder. Conn Med 1976 ;40 :372 –3 .
37.
Losken
A
,
Wilson
BW
,
Sherman
R.
Torsion of the gallbladder: A case report and review of the literature. Am Surg 1997 ; 63 :975 –8 .
38.
Macdonald
PH
,
Pace
RF.
Volvulus of the gallbladder: A case report. Can J Surg 1990 ;33 :282 –3 .
39.
McGregor
JR
,
Akyol
M
,
Macpherson
SG.
Acute torsion of the gallbladder. Scott Med J 1988 ;33 :277 .
40.
Rawson
HD.
Torsion of the gallbladder in a child of twelve with a review of the literature. Aust N Z J Surg 1953 ;22 :315 –7 .
41.
Schlinkert
RT
,
Mucha
P
Jr
,
Farnell
MB.
Torsion of the gallbladder. Mayo Clin Proc 1984 ;59 :490 –2 .
42.
Smith
GH
,
Perez
JF
,
Bracken
RH.
Acute torsion of the gallbladder. J Am Osteopath Assoc 1988 ;88 :1523 –5 .
43.
Wendel
AV.
A case of floating gallbladder and kidney complicated by cholelithiasis with perforation of the gallbladder. Ann Surg 1898 ;27 :199 –202 .
44.
Wetstein
L
,
Attkiss
M
,
Aufses
AH
Jr.
Acute torsion of the gallbladder. Am Surg 1976 ;42 :138 –41 .
45.
Whipple
RD
,
Sabo
RR.
Acute torsion of the gallbladder. Am J Surg 1979 ;137 :798 –9 .
46.
Wilson
EA.
Torsion of the gallbladder. S Afr Med J 1968 ;42 :172 .
