Torsion of suprahepatic gall bladder
| Autor: | Soon Young Nam, Woo Young Nho, Se Kook Kee, Jae Oh Kim |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
RD1-811 business.industry Unusual Case Torsion (gastropod) suprahepatic gall bladder RC799-869 Gallstones Diseases of the digestive system. Gastroenterology Gall bladder torsion medicine.disease digestive system Epigastric pain S4 hypotrophy digestive system diseases Surgery medicine.anatomical_structure medicine Cholecystitis Gall Cystic duct Abdominal computed tomography business Artery |
| Zdroj: | Journal of Minimal Access Surgery Journal of Minimal Access Surgery, Vol 17, Iss 3, Pp 382-384 (2021) |
| ISSN: | 0972-9941 |
| Popis: | Suprahepatic gall bladder is rare, and torsion of the ectopic gall bladder is extremely rare. We report a patient of acute suprahepatic cholecystitis with torsion. A 69-year-old Korean male was admitted to our hospital for sudden-onset, severe epigastric pain. Abdominal computed tomography and ultrasonography showed a distended gall bladder with diffuse wall thickening and scanty pericholecystic fluid, which was located in ectopic suprahepatic position, accompanied by S4 hypotrophy of the liver without gallstones. Emergency laparoscopic cholecystectomy was performed, and intraoperative findings revealed a distended and ischaemic gall bladder that was located in the suprahepatic position and had twisted along the cystic duct and artery pedicle in a clockwise manner. Detorsion was done and the gall bladder was resected. Unfortunately, the pre-operative diagnosis of gall bladder torsion was missed, and a definite diagnosis was made at the time of surgery. The patient was discharged on the 4th post-operative day. |
| Databáze: | OpenAIRE |
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