A Case of Gallbladder Torsion in a Very Elderly Patient Diagnosed Preoperatively and Treated by Resection

Abstract

Gallbladder torsion is a surgical emergency, but a preoperative diagnosis is sometimes difficult. With improvements in the techniques of imaging, some typical findings have been reported. Herein, we report a case of gallbladder torsion. The patient was a 93-year-old female who was admitted to our hospital with a history of abdominal pain. Abdominal CT showed a distended floating gallbladder, poor enhancement of the gallbladder wall and a tapering interruption of the cystic duct. From these findings, we made the diagnosis of gallbladder torsion and performed laparoscopic cholecystectomy. The postoperative course was favorable. We wish to emphasize that it is important to have knowledge of the typical imaging findings of gallbladder torsion and to perform imaging for accurate diagnosis of this condition.