Abstract
Torsion of the gallbladder is a relatively rare cause of an acute abdomen, and its diagnosis prior to operation has been difficult. We report a case of torsion of the gallbladder. Patient was thin elder female, over 90 years old. She was admitted to our hospital, diagnosed as having acute cholecystitis. An abdominal ultrasound and CT showed an extremely swollen gallbladder with thickened wall. MRCP did not depict the neck of the gallbladder. Patient underwent emergency open cholecystectomy. Operative finding showed torsion of the gallbladder with a 360-degrees volvulus, so-called a complete type. Gallbladder was fallen into the gangrenous cholecystitis state. The patient had uneventful postoperative course and was discharged from our hospital. Since torsion of the gallbladder is usually caused by the floating gallbladder, emergency laparoscopic cholecystectomy is recommended because of its anatomical character. For the preoperative diagnosis and precise treatment, it is important to keep the anatomical and imaging feature of this disease in mind.
