Gallbladder Volvulus a Rare Clinical Presentation, Case Report

Abstract

Introduction: Gallbladder volvulus is a rare clinical entity, and it is one of the causes of the acute abdominal pain which is hard to diagnosis and it is needed emergency surgery. Case Presentation: An 86 years old woman with upper abdominal pain which was more in right upper quadrant, nausea and vomiting for 3 days. She had right upper abdominal tenderness with sharpness in right upper abdominal quadrant without rebound tenderness. She underwent emergency laparotomy. The gallbladder was gangrenous and had rotation around the cystic pedicle, so cholecystectomy was done for her. Discussion: Gallbladder volvulus is an uncommon cause of acute abdominal pain and pre- operative diagnosis is complicated. The cause of volvulus is not completely understood, it is more in old women and is needed an emergency surgical intervention. Conclusion: It is really important to know although gallbladder volvulus is an uncommon manifestation but it is an important emergency differential diagnosis of acute abdominal pain specifically in elderly patients.