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dc.contributor.authorTabbikha, Omaren_US
dc.contributor.authorEl Israwi, Danielen_US
dc.contributor.authorYehya, Husseinen_US
dc.contributor.authorAl Bitar, Jaden_US
dc.contributor.authorBitar, Henrien_US
dc.description.abstractIntroduction Gallbladder volvulus is a rare disease whose presentation usually overlaps with that of typical calculous cholecystitis. It's diagnosis is critical as it is associated with high morbidity and mortality and therefore should be managed urgently with cholecystectomy. Case presentation 85-year-old female patient presented with right upper quadrant pain of one day duration that is associated with nausea and vomiting, but no fever or jaundice. She was tachycardiac and had severe abdominal right upper quadrant tenderness with positive Murphy's sign. Laboratory results showed only increase in inflammatory markers. Both ultrasound and computed tomography scan of the abdomen were done and acalculous cholecystitis was diagnosed. Open cholecystectomy was planned and performed, but gallbladder volvulus as the cause of cholecystitis was noted intraoperatively. Discussion There is still no consensus on the exact cause of gallbladder volvulus. Even though it presents mostly in elderly patients, different ages have been already reported. It's diagnosis can be suspected based on the appearance, symptoms, and examination of the patient. Laboratory tests and imaging might provide some clues for it's diagnoses. It's ischemic process prompts urgent surgical intervention and does not improve conservatively. Our patient did not present with all of it's typical symptoms and the diagnosis was made intraoperatively. Conclusion Gallbladder volvulus could have been missed had we not opt for an urgent surgery. More studies should be done to further define its presentation, and accurately know when to consider it up in our differential diagnosis.en_US
dc.publisherNational Library of Medicineen_US
dc.subjectAcalculous cholecystitisen_US
dc.subjectCase reporten_US
dc.subjectGallbladder volvulusen_US
dc.titleGallbladder volvulus diagnosed intraoperatively: Case reporten_US
dc.typeJournal Articleen_US
dc.contributor.affiliationFaculty of Medicineen_US
dc.relation.ispartoftextInternational Journal of Surgery Case Reportsen_US
Appears in Collections:Faculty of Medicine
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