Gallbladder volvulus: An unexpected "twist"

Radiol Case Rep. 2022 Mar 25;17(5):1755-1759. doi: 10.1016/j.radcr.2022.03.026. eCollection 2022 May.

Abstract

Gallbladder volvulus is a rare entity. It has been attributed to an elongated gallbladder mesentery, predisposing the gallbladder to twisting, obstructing the cystic duct and vessels, thus leading to ischemia and gangrene. Preoperative diagnosis can be elusive, but radiological features across multiple modalities have been described in the literature. We report a case of gallbladder volvulus in which the gallbladder appeared to be left-sided based on imaging, and present the radiological findings in keeping with a volvulus. Unlike cholecystitis, the treatment for volvulus is prompt detorsion and cholecystectomy; thus, accurate and timely diagnosis is paramount.

Keywords: Case report; Gallbladder torsion; Gallbladder volvulus; Laparoscopic cholecystectomy; Left-sided gallbladder.

Publication types

  • Case Reports