Gallbladder volvulus—acute cholecystitis ‘with a twist’
Abstract A Caucasian 92-year-old female was admitted to hospital with acute epigastric pain associated with vomiting. Initial investigations revealed mildly raised inflammatory markers, normal liver function tests but a markedly distended gallbladder with prominent wall thickening. The patient was m...
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Veröffentlicht in: | Journal of surgical case reports 2018-11, Vol.2018 (11), p.rjy303 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | Abstract
A Caucasian 92-year-old female was admitted to hospital with acute epigastric pain associated with vomiting. Initial investigations revealed mildly raised inflammatory markers, normal liver function tests but a markedly distended gallbladder with prominent wall thickening. The patient was managed with intravenous antibiotics for acute cholecystitis but deteriorated significantly on Day 2 of admission. An emergency laparoscopic cholecystectomy was performed and we found a gangrenous gallbladder secondary to gallbladder volvulus. The patient recovered well in the postoperative period and was discharged home 7 days later. |
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ISSN: | 2042-8812 2042-8812 |
DOI: | 10.1093/jscr/rjy303 |