McHenry C R, Byrne M P
J Am Geriatr Soc. 1986 Feb;34(2):137-9. doi: 10.1111/j.1532-5415.1986.tb05482.x.
Volvulus of the gallbladder is an extremely rare condition presenting often in elderly patients commonly mimicking acute cholecystitis. Two cases of gallbladder volvulus in two octogenarian patients are presented from our institution. Clinical presentation is reviewed and some characteristic clinical and radiographic findings are described. The etiology of this rare entity is discussed with particular emphasis on visceroptosis, a common finding in elderly patients. The importance of early recognition and rapid treatment of this potentially fatal disease is emphasized. It is possible with increasing longevity, with its accompanying tendency to visceroptosis, that this entity may occur more frequently in the future. Its recognition and proper treatment is essential to good results in this elderly group of patients.
胆囊扭转是一种极为罕见的病症,常发生于老年患者,临床表现通常类似急性胆囊炎。本文报告了我院收治的两例老年患者的胆囊扭转病例。对其临床表现进行了回顾,并描述了一些特征性的临床及影像学表现。讨论了这一罕见病症的病因,尤其强调了内脏下垂这一在老年患者中常见的现象。强调了早期识别和快速治疗这种潜在致命疾病的重要性。随着寿命延长以及随之而来的内脏下垂倾向增加,未来这种病症可能会更频繁地发生。对其进行识别和恰当治疗对于这组老年患者取得良好疗效至关重要。