Gallbladder Volvulus: a case report
Keywords:
GALLBLADDER, CHOLECYSTECTOMY, ABDOMEN, ACUTE.Abstract
Introduction: gallbladder volvulus is defined as the twisting of the organ over its mesentery along the axis of the duct and cystic artery; it is a rare disease, which more frequently occurs in older women.
Case report: a 46 year-old, white skin color female patient, with personal pathological history of duodenal ulcer, having smoking and coffee ingestion habits, who has not previously undergone surgical procedures, she comes to the emergency room of the General Surgery Department at Abel Santamaria Cuadrado Provincial General Hospital in Pinar del Río referring pain in right hypochondriac region, of slight intensity and of approximately 24 hours of evolution; accompanied by nausea and two vomits with food remains. He is diagnosed with gallbladder volvulus, undergoing surgical treatment.
Conclusions: gallbladder volvulus, an infrequent entity of great clinical similarity to other pathologies of the acute abdomen, makes a very complex pre-surgical diagnosis; nevertheless, the introduction of new imaging techniques performed by trained specialists, together with the accurate application of the clinical epidemiological method facilitated the diagnostic capacity, allowing the surgeons to take a correct and timely therapeutic decision for the patient and with satisfactory results.
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