Schlinkert R T, Mucha P, Farnell M B
Mayo Clin Proc. 1984 Jul;59(7):490-2. doi: 10.1016/s0025-6196(12)60439-x.
Herein we report two cases of acute torsion of the gallbladder, including an extremely rare instance of torsion of the fundus of the organ. Because symptoms of torsion of the gallbladder are similar to those of other diseases and because of its rarity, preoperative diagnosis is difficult. The cause of this disorder had not been determined. Torsion of the gallbladder may occur as an acute event or be subtle and recurrent. Because of the potentially catastrophic consequences of delayed surgical intervention, an abdominal operation should be performed early in patients with symptoms suggestive of acute cholecystitis, especially if a mass is palpable. The recommended treatment is cholecystectomy.
在此，我们报告两例急性胆囊扭转病例，包括一例极为罕见的胆囊底部扭转。由于胆囊扭转的症状与其他疾病相似，且因其罕见，术前诊断困难。该病症的病因尚未确定。胆囊扭转可能作为急性事件发生，也可能较为隐匿且反复发作。由于延迟手术干预可能带来灾难性后果，对于有提示急性胆囊炎症状的患者，尤其是可触及肿块的患者，应尽早进行腹部手术。推荐的治疗方法是胆囊切除术。
