At the time this article was written, Hayley M. Hamblin was a student in the PA program at Baldwin Wallace University in Berea, Ohio. She now practices in emergency medicine with US Acute Care Solutions at Summa Health System-Akron (Ohio) Campus. Amitabh Goel is chair of surgery and director of critical care at University Hospitals Geneva (Ohio) Medical Center. Jared R. Pennington is associate dean of health sciences in the College of Education and Health Sciences at Baldwin Wallace University. The authors have disclosed no potential conflicts of interest, financial or otherwise.
JAAPA. 2024 Jul 1;37(7):29-31. doi: 10.1097/01.JAA.0000000000000020. Epub 2024 Jun 25.
Gallbladder torsion is a rare cause of acute surgical abdomen. Early recognition and surgical intervention are important for reducing complications and improving postoperative patient outcomes, but standard imaging and laboratory evaluation typically are indistinguishable from those of acute cholecystitis. This article describes a patient with gangrenous cholecystitis secondary to torsion and summarizes recommendations for evaluation and management.
胆囊扭转是一种罕见的急性外科腹痛的原因。早期识别和手术干预对于减少并发症和改善术后患者预后非常重要,但标准的影像学和实验室评估通常与急性胆囊炎无法区分。本文描述了一例继发于扭转的坏疽性胆囊炎患者,并总结了评估和治疗建议。