Journal of Current Surgery, ISSN 1927-1298 print, 1927-1301 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Curr Surg and Elmer Press Inc
Journal website https://www.currentsurgery.org

Case Report

Volume 10, Number 3, September 2020, pages 28-31

Gallbladder Torsion: A Rare Diagnostic Challenge

Figures

Figure 1.
Figure 1. CT scan on admission day demonstrating enlargement of the gallbladder and focal thickening of the gallbladder wall. CT: computed tomography.
Figure 2.
Figure 2. T2-weighted MRCP demonstrating further extension of the perihepatic collection. MRCP: magnetic resonance cholangio-pancreatography.
Figure 3.
Figure 3. T2-weighted MRCP demonstrating further extension of the perihepatic collection and absence of biliary tree dilatation. MRCP: magnetic resonance cholangio-pancreatography.
Figure 4.
Figure 4. Intra-operative of view of the gallbladder with gangrenous appearance.
Figure 5.
Figure 5. Intra-operative view of the gallbladder torsion around its attachments to the liver after the dissection of the hepatocystic triangle.

Table

Table 1. Fluctuation of Blood Test Results During Hospitalization
 
ParameterInitial admissionRe-attendance dateSecond day of hospitalizationOperation dateSecond post-operative dayInstitutional normal range
White cell count9.720.8314.6613.5510.83(4.0 - 11.0) × 109
Neutrophil count7.4117.7712.7411.148.72(1.5 - 4.0) × 109
Hemoglobin11512910711096135 - 180 g/L
C-reactive protein47--1541300 - 5 mg/L
Alkaline phosphatase5920612210611130 - 130 IU/L
Alanine transaminase161909867820 - 55 IU/L
Bilirubin2837242217< 21 µmol/L
Amylase5729-242115 - 25 IU/L
Plasma lactate-1.4---0.5 - 2.2 mmol/L