Back to Search
Start Over
Torsion of the gallbladder, localized in right subphrenic space in a patient with liver cirrhosis
- Source :
- Clinical Journal of Gastroenterology. 8:435-437
- Publication Year :
- 2015
- Publisher :
- Springer Science and Business Media LLC, 2015.
-
Abstract
- We report a case of torsion of the gallbladder displaced under the right subphrenic space in a patient with liver cirrhosis. An 82-year-old Japanese woman was admitted to our hospital for acute pain in the right upper quadrant. Clinical features suggested gallbladder torsion. She was under treatment for hepatitis C virus-related cirrhosis at our hospital. Abdominal CT showed the swollen fundus and body of the gallbladder under the right subphrenic space. Emergency laparoscopic cholecystectomy was performed. Intraoperative findings included a grossly necrotic gallbladder in the right subphrenic space with 360° clockwise torsion, together with liver cirrhosis and localized peritonitis. The clinical features and imaging findings in this rare case of misplaced gallbladder in right subphrenic space resembled those described in typical strangulated gallbladder. The displacement was probably related to right liver lobe atrophy associated with liver cirrhosis. Appropriate diagnosis and prompt surgical treatment are essential for a positive outcome.
- Subjects :
- Liver Cirrhosis
Torsion Abnormality
medicine.medical_specialty
Cirrhosis
Peritonitis
Gallbladder Diseases
Internal medicine
medicine
Humans
Aged, 80 and over
business.industry
Gallbladder
Gastroenterology
General Medicine
Hepatitis C
Hepatology
medicine.disease
Colorectal surgery
Surgery
medicine.anatomical_structure
Cholecystectomy, Laparoscopic
Liver
Fundus (uterus)
Female
Atrophy
business
Abdominal surgery
Subjects
Details
- ISSN :
- 18657265 and 18657257
- Volume :
- 8
- Database :
- OpenAIRE
- Journal :
- Clinical Journal of Gastroenterology
- Accession number :
- edsair.doi.dedup.....b87edb8e9017be6fc8a164cf1fce1b5c