Edokpolo Belinda, Shaw John W
Hospital Medicine, Hutchinson Regional Medical Center, Hutchinson, USA.
General and Colorectal Surgery, Hutchinson Regional Medical Center, Hutchinson, USA.
Cureus. 2025 Jun 11;17(6):e85771. doi: 10.7759/cureus.85771. eCollection 2025 Jun.
Gallbladder volvulus is a rare but potentially fatal condition that may present with symptoms mimicking intra-abdominal malignancy, including constitutional symptoms and mass-like imaging findings. We present the case of an 85-year-old female on chronic anticoagulation with warfarin, who was evaluated for an epigastric mass initially suspected to be lymphoma or colon cancer. CT imaging revealed a large, heterogeneous mass in the epigastric region, while ultrasound demonstrated significant gallbladder distention, wall thickening, and pericholecystic fluid. This report highlights the challenges in obtaining an accurate diagnosis and stresses the urgent need for swift imaging and intervention to distinguish between surgical emergencies and oncologic-related conditions in elderly patients.
胆囊扭转是一种罕见但可能致命的疾病，其症状可能类似于腹内恶性肿瘤，包括全身症状和类似肿块的影像学表现。我们报告一例85岁长期服用华法林抗凝的女性患者，最初因上腹部肿块接受评估，怀疑为淋巴瘤或结肠癌。CT成像显示上腹部区域有一个大的、不均匀的肿块，而超声显示胆囊明显扩张、壁增厚和胆囊周围积液。本报告强调了准确诊断的挑战，并强调迫切需要迅速进行影像学检查和干预，以区分老年患者的外科急症和肿瘤相关疾病。
