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Case Report
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| Gallbladder torsion: A case study | ||||||
| Yasser Arafat1, Marianna Zukiwskyj2, Tarana Lucky3, Mojgan Rahimi4, Polbert Diaz5, Suntharalingam Shivananthan6 | ||||||
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1Principal House Officer, Department of Surgery, Bundaberg Base Hospital, Bundaberg, Queensland 4670, Australia.
2Registrar, Department of Surgery, Rockhampton Base Hospital, Rockhampton, Queensland 4700, Australia. 3Principal House Officer, Logan Hospital, Meadowbrook, Queensland 4131, Australia. 4Locum Medical Officer, Ipswitch Hospital, Chelmsford Avenue, Ipswich, Queensland 4305, Australia. 5Visiting Medical Officer, Department of Surgery, Hervey Bay Hospital, Hervey Bay, Queensland 4655, Australia. 6Staff Specialist, Department of Surgery, Hervey Bay Hospital, Hervey Bay, Queensland 4655, Australia. | ||||||
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| How to cite this article |
| Arafat Y, Zukiwskyj M, Lucky T, Rahimi M, Diaz P, Shivananthan S. Gallbladder torsion: A case study. Int J Case Rep Imag 2016;7(5):327–331. |
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Abstract
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Introduction:
Torsion of the gallbladder is a rare condition and an important differential of an acute surgical abdomen. While early surgical intervention reduces the risk of disease progression to life-threatening complications, and thus avoids high morbidity and mortality, it is difficult to make a preoperative diagnosis of gallbladder torsion.
Case Report: In this report, we describe a case of acute gallbladder torsion in an elderly male whose clinical presentation mimicked acute acalculous cholecystitis with local inflammatory reaction resulting from gangrenous gallbladder. The 81-year-old male was treated with emergency exploratory laparotomy. Except for developing an ileus requiring longer term recovery his post-operative period was otherwise uneventful and no further complications were evident in his follow-up clinic assessment. Conclusion: There is a wide range of differential diagnoses for patients presenting with acute surgical abdomen. Rare but life-threatening condition such as gallbladder torsion still remains a diagnostic challenge. Early diagnosis is the paramount in managing patients with gallbladder torsion as immediate surgical intervention is required. Keeping high index of clinical suspicion for patients presenting to emergency department with acute abdomen, especially in elderly population followed by diagnostic imaging can aid prompt diagnosis and thus facilitate early treatment. | |
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Keywords:
Abdominal pain, Acute abdomen, Gallbladder torsion, Gallbladder volvulus, Gastrojejunostomy
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Author Contributions
Yasser Arafat – Substantial contributions to conception and design, Acquisition of data, Analyses and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of version to be published Marianna Zukiwskyj – Substantial contributions to conception and design, Acquisition of data, Analyses and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of version to be published Tarana Lucky – Substantial contributions to conception and design, Analyses and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of version to be published Mojgan Rahimi – Substantial contributions to conception and design, Acquisition of data, Analyses and interpretation of data, Drafting the article, Final approval of version to be published Polbert Diaz – Substantial contributions to conception and design, Analyses and interpretation of data, Revising it critically for important intellectual content, Final approval of version to be published Suntharalingam Shivananthan – Substantial contributions to conception and design, Analyses and interpretation of data, Revising it critically for important intellectual content, Final approval of version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Yasser Arafat et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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