Gallbladder torsion. A case report
Vitale, L.; Kiss, A.; Drago, G.W.; Marino, B.M.
Minerva Chirurgica 52(9): 1117-1118
1997
ISSN/ISBN: 0026-4733 PMID: 9432587 Document Number: 473185
The unusual anatomical position of the organ, generally suspended by a mesentery, allows the rare possibility of its torsion with necrosis and even perforation. A woman, aged 78, who presented signs and symptoms similar to those of severe acute cholecystitis: abrupt onset of pain and a large palpable mass below the right costal margin. Immediate laparotomy with detorsion and easy cholecystectomy was performed. Should a greatly enlarged mass be palpable below the right costal margin within a few hours from the abrupt onset of unremittant abdominal pain the possibility of torsion should come to mind not to delay operation in the supposition of acute cholecystitis.