Naslov
Acute gallbladder torsion with gangrene and cholelithiasis – a rare condition

Autori
Kunišek, Leon ; Gudelj, Miodrag ; Zelić, Marko ; Kršul, Dorian ; Kunišek, Juraj

Izvornik
Acta clinica Croatica (0353-9466) 55 (2016), 4.; 671-673

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Gallbladder torsion ; Gangrene ; Cholelithiasis ; Cholecystectomy

Sažetak
We report a case of a 75-year-old female with acute torsion of the gallbladder with gangrene and cholelithiasis. On admission, the patient underwent physical examination, laboratory blood analysis, abdominal ultrasound and plain abdominal x-ray. Due to the signs of acute abdomen and poor general condition of the patient, urgent surgical procedure was indicated. Intraoperatively, the gallbladder was found to be greatly enlarged, gangrenous and greatly distended with 360° clockwise torsion around its mesentery. Cholecystectomy was performed. Gallbladder torsion is a rare surgical emergency which physicians should bear in mind when encountering patients with symptoms of acute cholecystitis. The only treatment for this condition is urgent cholecystectomy with prior detorsion. The mortality rate in patients not undergoing surgery is 100%.

Izvorni jezik
Engleski

POVEZANOST RADA