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
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 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.


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