World J Emerg Surg 2011 Apr 13;6(1):13. Epub 2011 Apr 13.
Department of General Surgery, Saint Joseph Mercy Health System, Suite R-2111, PO Box 995, Ann Arbor, MI, 48106, USA.
Acute gallbladder volvulus continues to remain a relatively uncommon process, manifesting itself usually during exploration for an acute surgical abdomen with a presumptive diagnosis of acute cholecystitis. The pathophysiology is that of mechanical organo-axial torsion along the gallbladder's longitudinal axis involving the cystic duct and cystic artery, and with a pre-requisite of local mesenteric redundancy. The demographic tendency is septua- and octo-genarians of the female sex, and its overall incidence is increasing, this being attributed to increasing life expectancy. Read More