Abstract
We present a case of gallbladder torsion associated with gallbladder cancer diagonosed postoperatively. An 83-year-old woman admitted with right upper abdominal pain was found in abdominal sonography and computed tomography to have a small amount of ascites and a gallbladder with remarked swelling and wall thickness in the neck, but no stones in the cystic duct. Emergency surgery conducted under a diagnosis of acute cholecystitis showed acute gangrenous cholecystitis and 540° clockwise torsion of the cystic duct, necessitating detorsion and cholecystectomy. The postoperative histological diagnosis was stage II gallblad der cancer. Because gallbladder torsion with cancer occurs in both bile peritonitis and peritonitis car cinomatosa, early diagnosis and surgery are vital to patient suvival, especially in the elderly gallbladder torsion.
