Abstract
An 83-year-old woman seen at the hospital because of epigastralgia showed no inflammatory reaction and increases in hepatobiliary enzymes on blood examinations. Abdominal CT scan revealed a distended gallbladder and remarkable edema at the submucosal structure of the body of the gallbladder, as well as a feature in which tissues appeared to focus on the neck. Torsion of the gallbladder was diagnosed and emergency laparoscoic cholecystectomy was performed. The gallbladder was a Gross type I floating gallbladder and it was twisted counterclockwise by 180 degrees. As the neck and the Calot triangle were almost normal, we determined that an easy operation should be promised and employed single incision laparoscopic cholecystectomy by using a needle forceps to the right hypochondriac region. The operating time was 60 minutes and the patient was discharged from the hospital on the 7th postoperative day following a satisfactory postoperative course.
There have been many reports describing that torsion of the gallbladder which affects a floating gallbladder and has a mild degree of inflammation at the neck is a good candidate for laparoscopic cholecystectomy. This paper deals with a safe and successful performance of single incision laparoscopic cholecystectomy for a case of torsion of the gallbladder in an early stage after the onset of the disease.
