Nguyen T, Geraci A, Bauer J J
Department of Surgery, Mount Sinai School of Medicine, City University of New York, NY 10029, USA.
Surg Endosc. 1995 May;9(5):519-21. doi: 10.1007/BF00206841.
Torsion of the gallbladder is a rare entity. Approximately 300 cases have been reported since it was first described in 1898 by Wendel (Ann. Surg. 1898; 27:199). The condition occurs most often in the elderly. Although the etiology is unknown, a constant finding is the presence of the gallbladder on a mobile mesentery ("floating" gallbladder). Torsion, or volvulus, of the gallbladder occurs when this gallbladder twists axially, with subsequent occlusion of bile and/or blood flow. We present a case of gallbladder volvulus diagnosed and treated laparoscopically. This is the first reported laparoscopic cholecystectomy for volvulus of the gallbladder.
胆囊扭转是一种罕见的病症。自1898年温德尔首次描述该病症（《外科学年鉴》，1898年；第27卷：第199页）以来，大约已报告了300例病例。这种病症最常发生在老年人身上。尽管病因不明，但一个常见的发现是胆囊位于可移动的肠系膜上（“漂浮”胆囊）。当这种胆囊发生轴向扭转，随后导致胆汁和/或血流阻塞时，就会发生胆囊扭转或肠扭转。我们报告一例经腹腔镜诊断和治疗的胆囊扭转病例。这是首例报告的腹腔镜胆囊切除术治疗胆囊扭转。
