Ingwang R, Belsham P, Scott H, Barker S, Bearn P
Department of Surgery, Guys Hospital, London, England, UK.
Aust N Z J Surg. 1991 Sep;61(9):717-9. doi: 10.1111/j.1445-2197.1991.tb00330.x.
Four cases of torsion of the gall-bladder are reported. The clinical features closely mimic those of acute cholecystitis. Although conservative management was initially instituted, close monitoring of our patients led to appropriate surgical intervention. Review of the literature suggests that torsion is uncommon. Four surgical registrars at busy district general hospitals seeing four cases in one year suggests that it is under-reported. Acute torsion can develop after a period of recurrent abdominal pain--retrospectively diagnosed as 'chronic torsion'. A prospective study using currently available imaging procedures to assess gall-bladder mobility, itself associated with torsion, could reveal whether this leads to chronic pain.
本文报告了4例胆囊扭转病例。其临床特征与急性胆囊炎极为相似。尽管最初采取了保守治疗，但对患者的密切监测促使了适时的手术干预。文献回顾表明，胆囊扭转并不常见。在繁忙的地区综合医院，4名外科住院医师在1年内就接诊了4例病例，这表明该病存在报告不足的情况。急性扭转可能在一段反复腹痛期后发生，回顾性诊断为“慢性扭转”。一项使用现有成像程序评估与扭转相关的胆囊活动度的前瞻性研究，可能会揭示这是否会导致慢性疼痛。
