Japanese

Laparoscopic cholecystectomy for torsion of the gallbladder Ryo OONO 1 , Makoto NAGAHARA 1 , Kazuki TANIGUCHI 1 , Shinya ISHIMARU 1 , Takao ISHIDA 1 1Department of Surgery, Nakano General Hospital Keyword: 急性腹症 , 胆囊捻転症 , 腹腔鏡下胆囊摘出術 pp.59-63
Published Date 2009/2/15
DOI https://doi.org/10.11477/mf.4426100292
  • Abstract
  • Look Inside
  • Reference

 Torsion of the gallbladder is rare and prompt surgery is necessary for uneventful postoperative course. A 29-year-old male admitted at our hospital with acute right upper quadrant pain. He was thin and had no particular medical history. Laboratory investigation showed slight elevation of white cell count and CRP. Other blood chemistry parameters were unremarkable. Preoperative CT scan demonstrated a massively distended floating gallbladder outside its fossa and inferior to the liver. Because of severe right upper quadrant pain, an emergency laparoscopy was done with a diagnosis of acute cholecystitis.

 The gallbladder was twisted 360°in a clockwise fashion. Laparoscopic derotation and cholecystectomy was performed uneventfully. The histopathology report of the specimen showed gangrenous necrotizing cholecystitis.


Copyright © 2009, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

基本情報

電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

関連文献

もっと見る

文献を共有