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
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.
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 © 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.
Gross RE. Congenital anomalies of gallbladder; review of 48 cases with report of double gallbladder. Arch Surg. 1936; 32: 131-162.
Hublet B. Torsion de la vésicule biliaire chez l'enfant. Chir Pediat. 1979; 20: 43-44.
Descottes B, Breque M, Rousseau D, Grousseau D, Kaifon M. A propos d'un nouveau cas de volvulus de la vésicule biliaire. Ann Chir. 1982; 36: 430-432.
Short R, Paul RG. Torsion of the gallbladder. Br J Surg. 1934; 22: 301-309.
Amrani Y, Ounani M, Beavogui L, Elabsi M, Echerrab M, Alami F, et al. Volvulus de la vésiculaire biliaire: deux cas. Presse Med 2006; 35: 1479–81.
Coquaz S, Bruant P, Regenet N, Lermite E, Pessaux P, Arnaud JP. Volvulus de la vésicule biliaire: à propos de deux cas. Ann Chir2005; 130: 252–3.
Mouawad NJ, Crofts B, Streu R, Desrochers R, Kimball BC, Acute gallbladder torsion-a continued preoperative diagnostic dilemma. World J Emerg Surg. 2011; 6 (13).
Lanson V. Volvulus de la vésicule biliaire. EMC (Foie, Pancréas). 1975; D-10: 7054.
Gupta V, Singh V, Sewkani A, Purohit D, Varshney R, Varshney S. Torsion of gall-bladder, a rereentity: a case rport and review article. Cases J 2009; 2: 193.
Nakao A, Matsuda T, Funabiki S, Mori T, Koguchi K, Iwado T, et al. Gallbladder torsion: case report and review of 245 cases reported in the Japanese literature. J Hepatobiliary Pancreat Surg 1999; 6: 418-21.
Kachi A, Nicolas G, Nasser J, Hashem M, Sleiman CA. A rare presentation of gallbladder volvulus: a case report. Am J Case Rep 2019; 20: 1466-70.
Arslan ED, Hakbilir B, Uyanik B, Ozturk B, Kaya E, Ozturk D. Gallblader volvulus. The journal of Emergency Medicine 2006, 30 (4): 397-401.
Loozen CS, Ramshorst BV, Santvoort HCV, Boerma D. Early cholecystectomy for acute cholecystitis in the elderly population: a systemmatic review and meta-analysis. Digestive Surgery 2017; 34 (5): 371-79.
Phillips EH. Routine versus selective intraoperative cholangiography. The American Journal of Surgery 1993; 165 (4): 505-07.
Wang GJ, Colln M, Crossett J, Holmes RA. « Bull-eye » image of gallbladder volvulus. Clinical Nuclear Medecine 1987; 12 (3): 231-32.
Reddy PK, Muralidharan M, Venkatsubramanian, Yuvaraja S. Laparoscopic derotation and cholecystectomy for torsion gallbladder. J Soc Laparoendosc. Surg 2005; 9: 238-40.
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