Gallbladder Volvulus Presenting as Acute Appendicitis
Autor: | Neal Shah, Eric Ballecer, Iman Hanna, Michael E Khalife, Galina Levin |
---|---|
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Exploratory laparotomy medicine.medical_treatment 030204 cardiovascular system & hematology necrosis Sepsis 03 medical and health sciences 0302 clinical medicine parasitic diseases Internal Medicine medicine business.industry General surgery Gallbladder Gastroenterology General Engineering gallbladder volvulus medicine.disease Volvulus medicine.anatomical_structure Acute abdomen General Surgery Acute appendicitis medicine.symptom Differential diagnosis Presentation (obstetrics) business 030217 neurology & neurosurgery biliary |
Zdroj: | Cureus |
ISSN: | 2168-8184 |
DOI: | 10.7759/cureus.14484 |
Popis: | Gallbladder volvulus is a rarely reported and diagnosed condition. We present a case of an elderly female with right lower quadrant pain mimicking acute appendicitis without conclusive imaging; however, due to worsening serological laboratory findings and sepsis picture, an exploratory laparotomy was performed. A necrotic gallbladder was removed, diagnosing gallbladder volvulus. A systemic literature review showed the difficulty in making a diagnosis and the uniqueness of our patient presentation. A high level of clinical suspicion for gallbladder volvulus must be maintained and should be included in the differential diagnosis in elderly women with an acute abdomen, as complications can be severe. |
Databáze: | OpenAIRE |
Externí odkaz: |