Torsion of the Gallbladder：Report of Six Patients

Abstract

Torsion of the gallbladder is not a commonly encountered condition in clinical practice. We operated on six patients with torsion of the gallbladder：laparoscopic cholecystectomy in two patients and open cholecystectomy in four. The patients with torsion of the gallbladder were more elderly and thinner as compared to those with acute cholecystitis who underwent cholecystectomy during the same period at our department. The symptoms of torsion of the gallbladder were non-specific. In regard to the preoperative diagnosis, abdominal CT with MPR (multiplanar reconstruction) was useful for the diagnosis. The condition warrants emergent cholecystectomy as treatment. Laparoscopic cholecystectomy can be safely performed because of the relative simplicity of the required surgical procedure for the disease.