Laso F J, Procel C, Pastor I, Vásquez G, Ramos R M
An Med Interna. 1989 Mar;6(3):149-50.
A case of an 81 year old woman who had fever, abdominal pain and a palpable mass in epigastrium and right hypochondriac region is presented. She was diagnosed as having acute cholecystitis and hydrops of the gallbladder. The surgical operation was performed and the findings were: dilated gallbladder with necrotic aspect, free floating with torsion of the cystic duct (greater than 180 degrees) wrapped in the mentum. There was no hepatic bed of the gallbladder. After correcting the torsion, the gallbladder was extirpated, with good clinical evolution. The etiopathogenia is discussed and the literature is reviewed. Despite the rareness of the gallbladder's torsion and the disease being relatively unknown, it has to be considered in the differential diagnosis of acute abdomen in the elderly.
本文报告一例81岁女性患者，其出现发热、腹痛，上腹部和右季肋区可触及肿块。她被诊断为急性胆囊炎和胆囊积水。进行了外科手术，术中所见为：胆囊扩张，外观呈坏死样，游离且胆囊管扭转（大于180度），被网膜包裹。胆囊无肝床。纠正扭转后，切除胆囊，临床恢复良好。对其病因进行了讨论并回顾了相关文献。尽管胆囊扭转罕见且该疾病相对不为人知，但在老年人急腹症的鉴别诊断中必须考虑到它。
