Volvulus of the Gallbladder: A Case Report and Review of Literatures

Abstract

Introduction: Gallbladder volvulus is defined as the rotation of the gallbladder on its mesentery along the axis of the cystic duct and cystic artery. The presence of a redundant mesentery (floating gallbladder) is a prerequisite for volvulus. It is an unusual and rare occurrence with a predilection for women in their seventh or eight decades of life. The disease mimics acute cholecystitis symptoms.

Objective: The objective is to report a case of volvulus of the gallbladder, result of the treatment and review of the literatures.

Case Report: An 81-year-old Thai-Chinese female presented with several attacks of dyspepsia. On admission, whole abdomen sonography was performed which revealed gallstones with acute obstructive and suppurative cholecystitis. Open cholecystectomy was performed. The volvulus and gangrene of the gallbladder were found. The patient responded well to surgical treatment and had an uneventful recovery without any complications.

Conclusions: Volvulus of the gallbladder is a rare but life-threatening condition. Preoperative diagnosis is difficult. Surgery is the gold standard treatment. Early surgery is life saving.