Volvulus of the Gallbladder: Case Reports
| Autor: | Jean Gugenheim, Imed Ben Amor, Radwan Kassir, Vincent Casanova |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Right flank education.field_of_study business.industry General surgery Gallbladder medicine.medical_treatment Population food and beverages medicine.disease Volvulus medicine.anatomical_structure medicine Cholecystitis Abdomen Cholecystectomy Presentation (obstetrics) education business |
| Zdroj: | Surgical Case Reports. :1-2 |
| ISSN: | 2613-5965 |
| DOI: | 10.31487/j.scr.2019.05.19 |
| Popis: | The volvulus of the gallbladder can be considered a clinical curiosity. However, we herein report three recent demonstrative consecutive cases. Female gender, advanced age and a thin constitution seem to represent common predisposing factors. A brutal and excrutiatingly painful presentation in the right hypochondrium contrast initially with seemingly normal vital parameters. Fever can be observed as well as signs of peritoneal irritation. An X-Ray of the abdomen can show a complete emptiness of the right flank and whole blood analysis can reveal an elevated leucocyte count predominantly neutrophilic. The torsion of the gallbladder thus presents itself as an acute cholecystitis with particularities catching the clinician's attention. The only anatomical predisposing factor resides in an anomaly of the mesocyst. The prognosis is driven by the delay to cholecystectomy as a fatal toxinic syndrome can be dreaded in this fragile population. Population's aging and possibilities to enlarge surgical indications in the elderly, enforces us to abandon the pejorative qualifier of « rare curiosity » attached to the gallbladder volvulus and define it as a clear entity in the gallbladder pathology. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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