담낭염전

• Published in: Annals of surgical treatment and research Vol. 62; no. 4; pp. 355 - 358
• Main Authors: 이철희(Chul-Hee Lee), 조현민(Hyun-Min Cho), 서영진(Young-Jin Suh), 원용성(Yong-Sung Won), 진형민(Hyung-Min Chin), 김준기(Jun-Gi Kim), 박우배(Woo-Bae Park), 전정수(Chung-Soo Chun)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.04.2002
• Subjects: 일반외과학; 염전; Gallbladder; Torsion; 담낭
• ISSN: 2288-6575; 2288-6796

Torsion of the gallbladder is a relatively rare disease and is generally due to abnormal anatomical fixation of the gallbladder. It occurs when the gallbladder twists axially, with subsequent occlusion of bile or blood flow that requires prompt surgical treatment. We report here a case of torsion of the gallbladder in a 75- year-old man with right upper quadrant abdominal pain and heart failure. Ultrasonography and computed tomography demonstrated a distended gallbladder that contained no stones. Since the symptoms did not respond to antibiotics, a cholecystectomy was performed. We found the gallbladder to be twisted around its pedicle and the patient had an uneventful postoperative course. Gallbladder torsion should be treated early particularly in high risk patient. Since its first description a century ago, the diagnosis of gallbladder torsion prior to operative exploration has been extremely elusive. However, there are typical clinical and radiological findings consistent with torsion of the gallbladder that should raise the index of suspicion for this condition preoperatively. We present a case of gallbladder torsion and discuss the pertinent literature concerning the salient clinical features and diagnostic tests. (J Korean Surg Soc 2002;62:355-358) KCI Citation Count: 0