Volume 5, Issue 6, December 2019, Page: 85-88
A New Observation of Volvulus of the Gallbladder
Rahantasoa Finaritra Casimir Fleur Prudence, Department of Visceral Surgery, Joseph Ravoahangy Andrianavalona Antananarivo Hospital, Antananarivo, Madagascar
Rakotomena Solonirina Davida, Department of Visceral Surgery, Joseph Ravoahangy Andrianavalona Antananarivo Hospital, Antananarivo, Madagascar
Kalouche Ibrahim, Department of Visceral Surgery, Verdun Hospital, Verdun, France
Rakoto Ratsimba Hery Nirina, Department of Visceral Surgery, Joseph Ravoahangy Andrianavalona Antananarivo Hospital, Antananarivo, Madagascar
Received: Nov. 20, 2019;       Accepted: Dec. 18, 2019;       Published: Dec. 25, 2019
DOI: 10.11648/j.ejcbs.20190506.13      View  286      Downloads  83
Abstract
Background: The volvulus of the gallbladder is a rotation of the gallbladder around its cystic pedicle. It is a relatively rare disease in the literature. Only 400 cases have been described. The diagnostic may be difficult in preoperative. The aim of our study is to report an observation of gallbladder volvulus to discuss its diagnostic and therapeutic management in relation to the literature. Observation: A 63-year-old woman was admitted for febrile hepatic colic. The biological examination revealed an hyperleukocytosis at 12000G/L, ASAT was at three times normal and ALAT at four times normal. Total bilirubin and conjugated bilirubin were without particularity. The most likely diagnosis was an acute cholecystitis in front of the clinical status, leading to ultrasound of the liver and bile ducts. The scanographic explorations had suspected a torsion of gallbladder. The diagnosis of gallbladder volvulus was made intraoperatively during exploratory laparotomy. The gallbladder was gangrened, twisted in a turn of the clockwise. The cholecystectomy was made after detorsion. The evolution was favorable. Conclusion: The volvulus of the gallbladder is a rare cause of acute cholecystitis. The medical imaging is a key element for the diagnostic. The prognosis is good in front of an early diagnosis. The cholecystectomy is the only surgery treatment.
Keywords
Cholecystectomy, Gallbladder, Volvulus
To cite this article
Rahantasoa Finaritra Casimir Fleur Prudence, Rakotomena Solonirina Davida, Kalouche Ibrahim, Rakoto Ratsimba Hery Nirina, A New Observation of Volvulus of the Gallbladder, European Journal of Clinical and Biomedical Sciences. Vol. 5, No. 6, 2019, pp. 85-88. doi: 10.11648/j.ejcbs.20190506.13
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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