A clinical study of gallbladder torsion

Abstract

We have studied 6 cases of gallbladder torsion to clarify the clinical features of this disease. The characteristic findings in ultrasound and CT images associated with gallbladder torsion, such as deviation of the gallbladder axis and constriction of the gallbladder neck, were found in all 6 of our cases. Gallbladder torsion is strongly doubted when these findings are observed. Moreover, if indirect findings, such as reduced blood flow in the gallbladder wall or a blocked cystic artery, are found, gallbladder torsion is verified. Therefore, we think that enhanced CT should be performed for diagnosis of gallbladder torsion when possible. On the other hand, abdominal physical findings did not necessarily accompanied with pathological findings. Importantly, the serum CRP levels were related with the presence of necrosis of the gallbladder wall, and this finding was thought to be significant to show the clinical condition of gallbladder torsion.