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Gallbladder volvulus


Tigabu Daniel
Yonas Abera

Abstract

Background: GB volvulus is rare to happen and the total cases reported range from 300-500. The anatomic risks include a floating GB  with elongated mesentery. It is most difficult to diagnose pre-operatively.


Case presentation: A 30-year-old male patient presented with a complaint of exacerbation of right upper quadrant pain of three days duration to Arbaminch general Hospital, Arbaminch Ethiopia. Physical examination revealed normal except the temperature which is 36.80 c. Murphy's sign was positive. Ultrasonography examination revealed echo complex pericholecystic left sub-phrenic and sub- hepatic fluid collection. Gangrenous GB volvulus was diagnosed intra-operatively and cholecystectomy was done. The patient was  discharged on the 7th - postoperative day.


Conclusion: Although the disease is not common in young male patients, it can be considered one of the differential diagnoses for  patients coming with sudden and severe right upper quadrant pain. Early exploration and cholecystectomy can prevent gangrenous GB  volvulus. 


Journal Identifiers


eISSN: 2415-2420
print ISSN: 0014-1755