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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 4, Issue 2, 2012 pp 59-61

Case Report

Acute Gall Bladder Volvulus; an Unexpected Abdominal Emergency

Ashish Motewar¹, Mandar Tilak², Nikhil Bhamare³

{¹Associate Professor, ²Assistant Professor, ³Resident} Dept of Surgery, Dr Shankarrao Chavan Government Medical College Nanded (MS) INDIA.

Academic Editor:  Dr. Aher K. R.

Gallbladder Volvulus is a very rare pathology in a patient presenting to the emergency with acute abdominal pain with only 500 cases reported worldwide [1]. The volvulus occurs along the axis of the cystic artery and cystic duct causing infarction and obstruction at the same time and if not diagnosed and treated promptly will lead to gangrenous perforation of the gall bladder, acute septic biliary peritonitis, morbidity and even mortality. Though it can occur in any age group most cases occur in elderly people with a female preponderance [2] . There is no classical clinical as well as radiologic sign for prompt diagnosis. But if a high index of suspicion is maintained and prompt diagnostic laparoscopy is done this acute condition can be satisfactorily treated with laparoscopic cholecystectomy with minimal intra operative difficulty and minimal post operative morbidity.