ID 110519
Title Transcription
タンノウ ネンテンショウ ノ 2レイ
Title Alternative
Two cases of torsion of the gallbladder
Author
Manabe, Yasushi Department of Surgery, Taoka Hospital
Yoshioka, Kazuo Department of Surgery, Taoka Hospital
Yanada, Junji Department of Surgery, Taoka Hospital
Keywords
torsion
volvulus
floating
gallbladder
diagnosis
Content Type
Journal Article
Description
Torsion of the gallbladder is a rare entity and pre-operative diagnosis of the disease is uncommon. Since it was first described by A.V. Wendel in 1898, about 400 cases have been reported in the literature. Two cases of torsion of the gallbladder were presented. First case was 82 year old male who was admitted with 48 hour history of right upper quadrant abdominal pain, fever, and vomiting. On physical examination there was right upper quadrant tenderness with muscle guarding and rebound tenderness. An abdominal ultrasonogram and CT showed a distended gallbladder with thickness of the wall and a stone. A diagnosis of cholecystitis due to the stone was made and conservative therapy was tried. But the condition didn’t become better and a cholecystectomy was performed 2days later. The gallbladder was found to be necrotic with a 360 degree in an anticlock wise direction. Post operative recovery was unremarkable and the patient discharged at 12 days. Second case was 80 year old female who was admitted with 11 hour history of right upper quadrant abdominal pain and vomiting. A physical examination was similar to the first case. An abdominal ultrasonogram showed a distended and floating gallbladder. A diagnosis of torsion of the gallbladder was made without CT and a cholecystectomy was performed immediately. The gallbladder was found to be necrotic with a 360 degree in an anticlock wise direction. Post operative recovery was unremarkable and the patient discharged at 16 days.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
57
Issue
6
Start Page
243
End Page
246
Sort Key
243
Published Date
2001-12-25
FullText File
language
jpn
TextVersion
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