Caliskan Kenan, Parlakgumus Alper, Koc Zafer, Nursal Tarik Zafer
Başkent University Faculty of Medicine, Department of General Surgery, Başkent Hastanesi Dadaloğlu Mah, 39, Sokak No: 6 Yüreğir 01250 Adana, Turkey.
Cases J. 2009 Apr 29;2:6641. doi: 10.1186/1757-1626-0002-0000006641.
Torsion of gallbladder is an uncommon cause of acute abdomen. Volvulus occurs along the long axis of the gallbladder mesentery, and according to the degree of rotation symptoms, and signs may vary.
A 79-year-old woman presented with a one-day history of acute onset of right upper abdominal pain. The patient underwent laparotomy with a preoperative diagnosis of acalculous cholecystitis with possible gangrene. At laparotomy, the gallbladder was distended, and multiple necrotic areas were observed. It was rotated more than 180 degrees clockwise around the mesentery, and cholecystectomy was performed.
Cholecystectomy is the treatment of gallbladder torsion. Clinical signs and radiographic studies may be helpful to diagnose gallbladder torsion. Early diagnosis and surgical treatment lower the mortality of disease.
胆囊扭转是急性腹痛的一种罕见病因。扭转沿胆囊系膜的长轴发生，根据旋转程度不同，症状和体征也会有所差异。
一名79岁女性，有一天的右上腹急性疼痛发作史。患者接受了剖腹手术，术前诊断为无结石性胆囊炎伴可能的坏疽。剖腹手术时，胆囊扩张，观察到多个坏死区域。它围绕系膜顺时针旋转超过180度，遂行胆囊切除术。
胆囊切除术是胆囊扭转的治疗方法。临床体征和影像学检查可能有助于诊断胆囊扭转。早期诊断和手术治疗可降低疾病的死亡率。
