Diagnosis and treatment of gallbladder torsion
10.3760/cma.j.issn.1007-8118.2010.09.027
- VernacularTitle:胆囊扭转的诊治
- Author:
Jianbao ZHENG
;
Xuejun SUN
;
Jingsen SHI
- Publication Type:Journal Article
- Keywords:
Gallbladder;
Gallbladder volvulus
- From:
Chinese Journal of Hepatobiliary Surgery
2010;16(9):715-717
- CountryChina
- Language:Chinese
-
Abstract:
Gallbladder volvulus is defined as the rotation of the gallbladder on its mesentery along the axis of the cystic duct and cystic artery. It is an unusual and rare occurrence with a predilection for women in their sixth or eighth decades of life. Only about 400 cases have been reported in the literature. The etiology of gallbladder volvulus remains speculative; however, the presence of a redundant mesentery is a prerequisite for torsion. Clinical symptoms are non-specific. Some form of right upper quadrant abdominal pain is nearly always present. Although recent advances in radiographic studies have aided in the diagnosis of many diseases,radiographic studies remain nonspecific in diagnosing gallbladder torsion. Laboratory evaluations are often nonspecific. An elevated white blood cell count is a frequent finding.Liver function tests are commonly normal. Gallbladder volvulus leads to gangrene or perforation because of occlusive obstruction of biliary drainage and blood flow. With early diagnosis and surgical intervention, the disease maintains a low mortality. Here, we present a review of the literature about gallbladder volvulus in order to enhance recognition of gallbladder volvulus.
