Tarhan Omer Ridvan, Barut Ibrahim, Dinelek Hasan
Department of General Surgery, School of Medicine, Süleyman Demirel University, Isparta, Turkey.
Turk J Gastroenterol. 2006 Sep;17(3):209-11.
Gallbladder volvulus is defined as the rotation of the gallbladder on its mesentery along the axis of the cystic duct and cystic artery. The presence of a redundant mesentery (floating gallbladder) is a prerequisite for volvulus. The disease, described for the first time by Wendel in 1898, is an extremely rare surgical disease. The disease mimics acute cholecystitis symptoms. Because of these two conditions, preoperative diagnosis of the disease is difficult. In any case, the definitive diagnosis is made during surgery. Volvulus of the gallbladder is an acute surgical emergency that must be treated with immediate detorsion and cholecystectomy. We report a case of gallbladder volvulus suspected pre-operatively using pre-operative imaging with ultrasound. The cases reported in the literature are reviewed and the treatment of gallbladder volvulus is also discussed.
胆囊扭转是指胆囊沿胆囊管和胆囊动脉的轴在其系膜上发生旋转。存在冗长系膜(游动胆囊)是发生扭转的先决条件。该病由温德尔于1898年首次描述,是一种极为罕见的外科疾病。该病酷似急性胆囊炎症状。由于这两种情况,术前诊断该病很困难。无论如何,确诊是在手术过程中作出的。胆囊扭转是一种急性外科急症,必须立即进行扭转复位和胆囊切除术治疗。我们报告1例术前通过超声影像学检查怀疑为胆囊扭转的病例。并对文献报道的病例进行了回顾,同时也讨论了胆囊扭转的治疗方法。