A CASE OF TORSION OF THE GALLBLADDER PRESENTED INTERESTING CONFIGURATION ON COMPUTED TOMOGRAPHY

• SUMIYOSHI Tatsuaki

  Department of Surgery, Kure Kyosai Hospital

• MIYOSHI Nobukazu

  Department of Surgery, Kure Kyosai Hospital

• MAEDA Yoshiyuki

  Department of Surgery, Kure Kyosai Hospital

• HOTEI Hiroshi

  Department of Surgery, Kure Kyosai Hospital

• TAHARA Ko

  Department of Surgery, Kure Kyosai Hospital

• KOBAYASHI Hironori

  Department of Surgery, Kure Kyosai Hospital

Bibliographic Information

Other Title

• 興味深いＣＴ画像所見を呈した完全型胆嚢軸捻転の１例

Abstract

A 35-year-old woman seen at the hospital because of right hypochondralgia was suspected to have acute cholecystitis because pronounced thickening of the gallbladder wall was confirmed by abdominal ultrasonography and contrast-enhanced CT scan. She was admitted on the same day and conservative therapy was started, but severe abdominal pain persisted. An emergency laparoscopic surgery performed on the 4^th hospital day disclosed that the gallbladder was twisted by 360 degrees at the cervical portion. Necrotic cholecystitis caused by torsion of the gallbladder was diagnosed.<br> A retrospective study of the enhanced CT findings of the patient revealed that the gallbladder was adjacent to the gallbladder bed, thickening of the gallbladder wall had encircled the organ, and the intramural vessels were partly visualized. Accordingly we thought before surgery that the gallbladder was adjacent to the gallbladder bed and intramural blood flow was kept so that torsion of the gallbladder might be the unlikely diagnosis. However, it was clarified that venous vessels were obliterated by the torsion but a part of arterial vessels were patent due to high internal pressure and were resultantly visualized. We consider that the whole-circumferential thickening of the wall which was significant compared to mild swelling of the gallbladder might be caused by congestion associated with venous obliteration.

Journal

• Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

  Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 66 (10), 2535-2539, 2005

  Japan Surgical Association

Keywords

• 胆嚢軸捻転症
• 造影CT検査

Details

• CRID: 1390001204847421440
• NII Article ID: 130003432947
• NII Article ID: 10018961179
• NII Book ID: AA11189709
• DOI: 10.3919/jjsa.66.2535
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/66/10/66_10_2535/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2005286929
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed