Abstract
Because torsion of the gallbladder is a relatively rare cause of acute abdomen, preoperative diagnosis has been difficult. Recently, we encountered a patient with torsion of the gallbladder in whom the diagnosis was made preoperatively. An 86-year-old woman was admitted to our hospital with the diagnosis of acute cholecystitis. Abdominal ultrasonography showed swelling of the gallbladder in the absence of any gallstones. MDCT (Multi Detector-row Computed Tomography) revealed thickening of the gallbladder wall, and a part of the wall was non-enhancing, the findings suggesting. that the neck of the gallbladder was twisted clockwise around the axis of the cystic duct. Emergency open cholecystectomy was performed, and the operative findings included torsion of the gallbladder with a 360-degrees volvulus. The patient was discharged without event.
