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Cureus 2021 Apr 14;13(4):e14484. Epub 2021 Apr 14.

Department of General Surgery, New York University (NYU) Langone Hospital-Long Island, Mineola, USA.

Gallbladder volvulus is a rarely reported and diagnosed condition. We present a case of an elderly female with right lower quadrant pain mimicking acute appendicitis without conclusive imaging; however, due to worsening serological laboratory findings and sepsis picture, an exploratory laparotomy was performed. A necrotic gallbladder was removed, diagnosing gallbladder volvulus. Read More

Hepatobiliary Surg Nutr 2021 Apr;10(2):249-253

Department of General and Visceral Surgery, EHC Hospital, Morges, Switzerland.

Int J Surg Case Rep 2021 Mar 3;80:105614. Epub 2021 Feb 3.

Department of Surgery, University of Saskatchewan, Saskatoon, Canada; Professor of Surgery, University of Saskatchewan, Saskatoon, Canada.

Introduction And Importance: A gallbladder volvulus is a rare medical condition requiring emergency surgery. There are 500 cases reported in the literature, and only 10 % have ever been diagnosed preoperatively. Gallbladder volvulus occurs when the gallbladder torts around the cystic duct and cystic artery resulting in occlusion of both structures and consequently, ischemia of the gallbladder. Read More

J Surg Case Rep 2020 Oct 31;2020(10):rjaa424. Epub 2020 Oct 31.

Department of General Surgery, Ha Noi Medical University, Ha Noi City, Vietnam.

Gallbladder hernia through the foramen of Winslow is an uncommon condition and gallbladder hernia combined with volvulus is even rarer. A 70-year-old patient was hospitalized with the clinical signs of pain in the right hypochondriac region associated with fever. The computed tomography scan images showed some signs of gallbladder herniation through the foramen of Winslow. Read More

J Med Imaging Radiat Oncol 2021 Feb 26;65(1):79-81. Epub 2020 Sep 26.

Healthcare Imaging Services, Horsham, Victoria, Australia.

Duodenal volvulus is an extremely rare condition, with few cases reported in the literature. We present the case of an 83-year-old man with spontaneous duodenal volvulus diagnosed on CT imaging. Findings included volvulus of the third part of the duodenum, the chjmirocteristic whirl pattern of the superior mesenteric vessels and medialisation of the gallbladder. Read More

Int J Surg Case Rep 2020 6;75:81-84. Epub 2020 Sep 6.

Department of Visceral Surgery CSF, Belgium.

Introduction: The gallbladder volvulus is a rare surgical emergency and its defined as the rotation of the gallbladder on its mesentery along the axis of the cystic duct and cystic artery. Definitive diagnosis is usually made during surgery and a delay in treatment may result in a high mortality due to rupture of gall bladder and bile peritonitis.

Case Presentation: We report the case of an 88-year-old woman who presented with an acute torsion of gall bladder, which was treated promptly after admission by laparoscopic cholecystectomy. Read More

Cureus 2020 Jul 28;12(7):e9435. Epub 2020 Jul 28.

Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, VNM.

Gallbladder volvulus is rare and known to occur when there is a rotation of the gallbladder along the axis of the cystic vascular pedicle. Except for isolated cases reported in childhood, this disease is more frequently encountered in the elderly, especially in women. Therefore, most cases in the literature describe the clinical and radiographic features of gallbladder volvulus in this age group. Read More

Case Rep Surg 2020 4;2020:8687141. Epub 2020 Jan 4.

Departments of Surgery, Gastroenterology and Medical Imaging, Charles-LeMoyne Hospital, Greenfield Park, Canada.

Torsion or volvulus of the gallbladder is a rare situation that rapidly progresses to gangrene and linked with a poor prognosis, even death, if unrecognized and untreated. An interesting and rare case of gallbladder volvulus in which diagnosis was obtained by comparing CT images and HIDA scan with SPECT-CT is presented. Relevant literature is reviewed, and recommendations are outlined. Read More

Am J Case Rep 2019 Dec 16;20:1879-1882. Epub 2019 Dec 16.

Department of Surgery, Lebanese American University Medical Center, Beirut, Lebanon.

BACKGROUND Gallbladder torsion is a rare entity of acute abdomen that can be fatal if not diagnosed and treated promptly. It presents in a multitude of ways but the most common is a presentation similar to acute cholecystitis. Diagnosis can be made clinically by abdominal ultrasound with Doppler flow, and treatment is detorsion with cholecystectomy. Read More

Am J Case Rep 2019 Oct 5;20:1466-1470. Epub 2019 Oct 5.

Department of General Surgery, Saint Charles Hospital, Fayadieh, Lebanon.

BACKGROUND Gall bladder volvulus is a rare clinical entity, with only around 500 cases reported in the literature. It is defined as the rotation of the gallbladder on its mesentery along the axis of the cystic pedicle, although cases of torsion of the gallbladder fundus itself have been reported. CASE REPORT A 78-year-old woman presented for severe right upper-quadrant abdominal pain that began acutely 3 days prior. Read More

Cir Cir 2019 ;87(S1):58-61

Alta Especialidad en Radiología Pediátrica, Posgrado, Universidad Autónoma de México. Ciudad de México, México.

Introduction: Gallbladder volvulus is a rare and difficult to diagnose pediatric entity, its delayed treatment leads to complications. A 9 months old male case solved by laparoscopy is reported.

Case Report: Twelve hours of development with irritability, vomiting and fever. Read More

Case Rep Surg 2019 14;2019:2189890. Epub 2019 Jul 14.

Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, 840 S. Wood Street, Suite 435E (MC 958), Chicago, IL 60612, USA.

Gallbladder volvulus (GV) is an axial twisting of the gallbladder (GB). If not treated on time, this condition has a mortality up to 6%. It is usually diagnosed intraoperatively, because it can mimic a typical acute cholecystitis. Read More

J Surg Case Rep 2019 Jul 31;2019(7):rjz221. Epub 2019 Jul 31.

Department of General Surgery, UPMC Pinnacle Community Osteopathic Hospital, 4300 Londonderry Rd, Harrisburg, PA, USA.

Gallbladder volvulus is a rare condition with similar presentation to acute cholecystitis. It is caused by the gallbladder twisting upon its mesentery leading to potential ischemia and biliary obstruction. A 77-year-old female presented with symptoms of right upper quadrant pain and nausea. Read More

Int J Crit Illn Inj Sci 2019 Apr-Jun;9(2):87-90

Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.

Gallbladder volvulus is a rare condition that most commonly occurs in elderly women and often mimics acute cholecystitis in its presentation. This condition is a surgical emergency requiring cholecystectomy as it can lead to gallbladder perforation and bilious peritonitis with high morbidity to the patient. An 85-year-old woman with chronic lymphocytic leukemia presented with acute-onset right upper-quadrant abdominal pain and associated nausea with emesis. Read More

Int J Surg Case Rep 2019 27;60:75-78. Epub 2019 Feb 27.

Department of General and Digestive Surgery, Hopital Sahloul, Sousse, Tunisia. Electronic address:

Introduction: Gallbladder volvulus (GV) is a rare disease with less than 400 cases reported in the English literature. The pre-operative diagnosis of GV is difficult as none of the imaging modalities are accurate. Once diagnosed, the mainstay of treatment is emergency surgical derotation and cholecystectomy. Read More

J Gastroenterol Hepatol 2019 07 14;34(7):1133. Epub 2019 Mar 14.

Department of Surgery, Centre Hospitalier Avranches-Granville, Avranches, France.

Cureus 2018 Dec 13;10(12):e3726. Epub 2018 Dec 13.

Surgery, Redland Hospital, Brisbane, AUS.

Gallbladder torsion is a rare cause for acute cholecystitis. Gallbladder torsion is unlikely to respond to conservative management and requires urgent surgical intervention. We report a case of an 85-year-old female with gallbladder torsion. Read More

Ann Med Surg (Lond) 2018 Dec 13;36:231-234. Epub 2018 Nov 13.

Department of Surgery, University Hospital Hairmyres, NHS Lanarkshire, East Kilbride, G75 8RG, Scotland, UK.

Introduction: Unexplained lactic acidosis (LA) in a critically ill patient often prompts investigations to rule out any reversible intra-abdominal cause. Equivocal results can lead to an emergency laparotomy (EL) with subsequent high morbidity and mortality rates. Our objective was to determine the clinical impact of urgent diagnostic laparoscopy (UDL) in such patients. Read More

J Surg Case Rep 2018 Nov 19;2018(11):rjy303. Epub 2018 Nov 19.

General Surgery, Manly Hospital, 150 Darley Road Manly Sydney, Manly, New South Wales, Australia.

A Caucasian 92-year-old female was admitted to hospital with acute epigastric pain associated with vomiting. Initial investigations revealed mildly raised inflammatory markers, normal liver function tests but a markedly distended gallbladder with prominent wall thickening. The patient was managed with intravenous antibiotics for acute cholecystitis but deteriorated significantly on Day 2 of admission. Read More

BMJ Case Rep 2018 Jun 8;2018. Epub 2018 Jun 8.

Radiology, Hamad General Hospital, Doha, Qatar.

Gallbladder volvulus (GBV) due to rotation of the gall bladder (GB) around its own mesentery is a rare surgical emergency and often identified intraoperatively. Typically, cholecystitis is the initial clinical diagnosis, but a high index of suspicion on imaging can alert the physician for the possibility of GBV requiring urgent surgical intervention. We describe a case of a young female patient with hypoplasia/atrophy of the posterior segment of the right liver lobe and a GB with no hepatic attachments but only mesenteric pedicle. Read More

Rozhl Chir Fall 2017;96(7):309-312

Introduction: Volvulus of the gallbladder is one of very rare diseases ranked among acute abdomen conditions. Only case reports are described in the literature. The disease presents with acute biliary ailments, often reminiscent of acute cholecystitis. Read More

Case Rep Surg 2017 30;2017:3906042. Epub 2017 Apr 30.

Surgery Department, CHU Besançon, 25000 Besançon, France.

Gallbladder volvulus is a rare disease and can lead to an acute cholecystitis. We report the case of an elderly woman with a gallbladder volvulus, diagnosed at CT scan and treated by surgery and endoscopic sphincterotomy. Read More

Am Surg 2017 Jan;83(1):e11-12

Department of Surgery and Medical-Surgical Specialties, General and Oncologic Surgery Unit, Vittorio-Emanuele University Hospital of Catania, University of Catania, Italy.

Cir Cir 2017 Dec 10;85 Suppl 1:89-92. Epub 2016 Dec 10.

Departamento de Cirugía General, Hospital Ramón y Cajal, Madrid, España.

Background: The gallbladder volvulus is defined as the rotation of the gallbladder on its mesentery along the axis of the cystic duct and cystic artery. It is an extremely rare surgical disease and definitive diagnosis is usually made during surgery.

Case Report: A 78 year old woman presented with upper right quadrant abdominal pain, with no comorbidities and no other accompanying symptoms. Read More

Case Rep Surg 2016 22;2016:5626531. Epub 2016 Sep 22.

Division of Surgical Oncology, Department of Surgery, Milwaukee, WI, USA.

Gallbladder volvulus is a rare, potentially fatal condition unless diagnosed and treated early. Choledochal cysts are rare congenital malformations of the biliary tree predisposing to different pathologies and posing the risk of degradation into cholangiocarcinoma and gallbladder cancer. Dealing with both diseases at once has not been published yet in the literature. Read More

West J Emerg Med 2016 Sep 8;17(5):630-3. Epub 2016 Aug 8.

SUNY Downstate Medical Center, Department of Emergency Medicine, Brooklyn, New York; Kings County Hospital Department of Emergency Medicine, Brooklyn, New York.

An otherwise healthy 36-year-old man presented with sudden-onset right upper quadrant abdominal pain and vomiting. A bedside ultrasound, performed to evaluate hepatobiliary pathology, revealed a normal gallbladder but free intraperitoneal fluid. After an expedited CT and emergent explorative laparotomy, the patient was diagnosed with a small bowel obstruction with ischemia secondary to midgut volvulus. Read More

Surg Case Rep 2016 Dec 6;2(1):80. Epub 2016 Aug 6.

The Bariatric and Metabolic Institute, Section of Minimally Invasive Surgery, Department of General and Vascular Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL, 33331, USA.

A wandering liver is a rare development in both the adult and pediatric population where the liver is freely displaced along a transverse axis. We describe the first known occurrence in published literature of a wandering liver in an adult individual who also had an intestinal malrotation complicated by a midgut volvulus. The abnormal ability for a liver to wander presents a highly unusual anatomy that can be disorienting. Read More

BJR Case Rep 2016 23;2(3):20150360. Epub 2016 May 23.

North Manchester Hospitals, Manchester, UK.

An 85-year-old female with an extensive past medical history attended our accident and emergency department with vague abdominal pain and distension. Clinical examination and initial blood tests demonstrated features of sepsis and she was commenced on broad spectrum antibiotics. Following admission, a contrast-enhanced CT scan of the abdomen and pelvis was performed, which showed an unusual configuration of the gallbladder. Read More

Am Surg 2015 Nov;81(11):E347-8

Department of Surgery, Santa Barbara Cottage Hospital, Santa Barbara, California, USA.