European Journal of Clinical and Biomedical Sciences

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A New Observation of Volvulus of the Gallbladder

Received: 20 November 2019    Accepted: 18 December 2019    Published: 25 December 2019
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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.

DOI 10.11648/j.ejcbs.20190506.13
Published in European Journal of Clinical and Biomedical Sciences (Volume 5, Issue 6, December 2019)
Page(s) 85-88
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Cholecystectomy, Gallbladder, Volvulus

References
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[2] Hublet B. Torsion de la vésicule biliaire chez l'enfant. Chir Pediat. 1979; 20: 43-44.
[3] 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.
[4] Short R, Paul RG. Torsion of the gallbladder. Br J Surg. 1934; 22: 301-309.
[5] 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.
[6] 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.
[7] 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).
[8] Lanson V. Volvulus de la vésicule biliaire. EMC (Foie, Pancréas). 1975; D-10: 7054.
[9] 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.
[10] 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.
[11] 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.
[12] Arslan ED, Hakbilir B, Uyanik B, Ozturk B, Kaya E, Ozturk D. Gallblader volvulus. The journal of Emergency Medicine 2006, 30 (4): 397-401.
[13] 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.
[14] Phillips EH. Routine versus selective intraoperative cholangiography. The American Journal of Surgery 1993; 165 (4): 505-07.
[15] Wang GJ, Colln M, Crossett J, Holmes RA. « Bull-eye » image of gallbladder volvulus. Clinical Nuclear Medecine 1987; 12 (3): 231-32.
[16] Reddy PK, Muralidharan M, Venkatsubramanian, Yuvaraja S. Laparoscopic derotation and cholecystectomy for torsion gallbladder. J Soc Laparoendosc. Surg 2005; 9: 238-40.
Author Information
  • Department of Visceral Surgery, Joseph Ravoahangy Andrianavalona Antananarivo Hospital, Antananarivo, Madagascar

  • Department of Visceral Surgery, Joseph Ravoahangy Andrianavalona Antananarivo Hospital, Antananarivo, Madagascar

  • Department of Visceral Surgery, Verdun Hospital, Verdun, France

  • Department of Visceral Surgery, Joseph Ravoahangy Andrianavalona Antananarivo Hospital, Antananarivo, Madagascar

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    Rahantasoa Finaritra Casimir Fleur Prudence, Rakotomena Solonirina Davida, Kalouche Ibrahim, Rakoto Ratsimba Hery Nirina. (2019). A New Observation of Volvulus of the Gallbladder. European Journal of Clinical and Biomedical Sciences, 5(6), 85-88. https://doi.org/10.11648/j.ejcbs.20190506.13

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    ACS Style

    Rahantasoa Finaritra Casimir Fleur Prudence; Rakotomena Solonirina Davida; Kalouche Ibrahim; Rakoto Ratsimba Hery Nirina. A New Observation of Volvulus of the Gallbladder. Eur. J. Clin. Biomed. Sci. 2019, 5(6), 85-88. doi: 10.11648/j.ejcbs.20190506.13

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    AMA Style

    Rahantasoa Finaritra Casimir Fleur Prudence, Rakotomena Solonirina Davida, Kalouche Ibrahim, Rakoto Ratsimba Hery Nirina. A New Observation of Volvulus of the Gallbladder. Eur J Clin Biomed Sci. 2019;5(6):85-88. doi: 10.11648/j.ejcbs.20190506.13

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  • @article{10.11648/j.ejcbs.20190506.13,
      author = {Rahantasoa Finaritra Casimir Fleur Prudence and Rakotomena Solonirina Davida and Kalouche Ibrahim and Rakoto Ratsimba Hery Nirina},
      title = {A New Observation of Volvulus of the Gallbladder},
      journal = {European Journal of Clinical and Biomedical Sciences},
      volume = {5},
      number = {6},
      pages = {85-88},
      doi = {10.11648/j.ejcbs.20190506.13},
      url = {https://doi.org/10.11648/j.ejcbs.20190506.13},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ejcbs.20190506.13},
      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.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - A New Observation of Volvulus of the Gallbladder
    AU  - Rahantasoa Finaritra Casimir Fleur Prudence
    AU  - Rakotomena Solonirina Davida
    AU  - Kalouche Ibrahim
    AU  - Rakoto Ratsimba Hery Nirina
    Y1  - 2019/12/25
    PY  - 2019
    N1  - https://doi.org/10.11648/j.ejcbs.20190506.13
    DO  - 10.11648/j.ejcbs.20190506.13
    T2  - European Journal of Clinical and Biomedical Sciences
    JF  - European Journal of Clinical and Biomedical Sciences
    JO  - European Journal of Clinical and Biomedical Sciences
    SP  - 85
    EP  - 88
    PB  - Science Publishing Group
    SN  - 2575-5005
    UR  - https://doi.org/10.11648/j.ejcbs.20190506.13
    AB  - 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.
    VL  - 5
    IS  - 6
    ER  - 

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