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01.12.2011 | Case report | Ausgabe 1/2011 Open Access

Journal of Medical Case Reports 1/2011

A gallbladder torsion presenting as acute cholecystitis in an elderly woman: A case report

Zeitschrift:
Journal of Medical Case Reports > Ausgabe 1/2011
Autoren:
Jorine Boer, Djamila Boerma, Tammo S de Vries Reilingh
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1752-1947-5-588) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

JB interpreted patient data, collected previous published literature on the subject and contributed in writing the manuscript. DB was also a contributor in writing the manuscript, as well as providing expert revision. TVR performed the surgical procedure, provided the endoscopic images and contributed in writing the manuscript. All authors read and approved the final manuscript.

Abstract

Introduction

Gallbladder torsion is a rare, but potentially lethal disease, in which early recognition is crucial.

Case presentation

We describe the case of an 89-year-old Caucasian woman who presented with clinical symptoms suggestive of acute cholecystitis to our hospital. Radiological imaging confirmed our clinical diagnosis. At first we considered percutaneous gallbladder drainage because of her age and comorbidity, but instead performed laparoscopic cholecystectomy because of rapid clinical deterioration. During laparoscopy a necrotic gallbladder due to torsion of the gallbladder around the cystic duct was found.

Conclusion

Because percutaneous drainage could lead to further deterioration in the case of gallbladder torsion, this rare condition should be considered before performing a percutaneous drainage of cholecystitis.

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