Schroder D M, Cusumano D A
St. John Hospital, Detroit, Michigan, USA.
Surg Laparosc Endosc. 1995 Aug;5(4):330-4.
Although torsion of the gallbladder is most commonly a disease of the elderly, an 18-year-old woman presented with this condition. This is the first reported case of laparoscopic cholecystectomy for gallbladder torsion. Signs and symptoms of gallbladder volvulus are often subtle. Radiologic evaluation may be normal. A high index of suspicion is necessary to make the preoperative diagnosis. If treated laparoscopically, gallbladder decompression and detorsion prior to cholecystectomy are helpful techniques to avoid bile duct injury. A literature review of this uncommon problem is provided.
虽然胆囊扭转最常见于老年人，但一名18岁女性也出现了这种情况。这是首例报道的因胆囊扭转而行腹腔镜胆囊切除术的病例。胆囊扭转的体征和症状往往不明显。影像学评估可能正常。术前诊断需要高度的怀疑指数。如果采用腹腔镜治疗，在胆囊切除术前进行胆囊减压和扭转复位是避免胆管损伤的有用技术。本文提供了对这个罕见问题的文献综述。
