Jihui Li, MD, FACS, Emanuele Lo Menzo, MD, PhD, FACS, Samuel Szomstein, MD, FACS, Raul J. Rosenthal, MD, FACS
Department of General Surgery, Horizon Health Paris Clinic, Paris, IL (Dr Li), Department of General Surgery, Cleveland Clinic Florida, Weston, FL (Drs Lo Menzo, Szomstein, and Rosenthal)
Introduction: Gallbladder volvulus is rare, but delay in diagnosis and surgical intervention can lead to significant morbidity and mortality.
Case Description: An older woman presented with abdominal pain and was diagnosed with acute cholecystitis. During surgery, she was found to have 360-degree counterclockwise torsion of the gallbladder with ischemia. Laparoscopic cholecystectomy was performed without complications.
Conclusion: In the proper clinical setting, there is no need to explore extra studies for a preoperative confirmatory diagnosis, which may delay surgical intervention. Good prognosis is expected after prompt cholecystectomy.
Key Words: Gallbladder volvulus, Abdominal pain, Acute cholecystitis, Laparoscopic cholecystectomy.