Abstract
We have experienced gallbladder torsion which is a rare entity as a disease causing acute abdomen and have gained a favorable therapeutic outcome by making early preoperative diagnosis. An 88-year-old woman consulted our hospital because of right hypochondralgia with local tenderness and Murphy sign. Abdominal CT showed an enlarged free-floating gallbladder with thickening of the wall but without enhancement. We diagnosed as having gallbladder torsion. Following untwisting via single incision approach, laparoscopic cholecystectomy was performed completely. The patient was discharged four days after operation. In this case, a laparoscopic cholecystectomy with early proper diagnosis might lead to a minimally invasive surgery, resulting in a good outcome. Gallbladder torsion has similar symptoms to those of acute cholecystitis, so it is difficult to diagnose it preoperatively. In addition, single incision approach can be possible as one of option for gallbladder torsion only if untwisting is safely-performed.
