Single‐incision laparoscopic cholecystectomy for gallbladder torsion: A case report and literature review

• Published in: Asian journal of endoscopic surgery Vol. 11; no. 2; pp. 165 - 168
• Main Authors: Matsubara, Keiso, Urushihara, Takashi, Oshita, Akihiko, Itamoto, Toshiyuki
• Format: Journal Article
• Language: English
• Published: Kyoto, Japan John Wiley & Sons Australia, Ltd 01.05.2018; Wiley Subscription Services, Inc
• Subjects: Bile; Case reports; Cholecystectomy; Gallbladder; Gallbladder torsion; laparoscopic cholecystectomy; Laparoscopy; single incision; Gallbladder torsion; laparoscopic cholecystectomy; single incision
• ISSN: 1758-5902; 1758-5910
• DOI: 10.1111/ases.12435

We present a case of preoperatively diagnosed gallbladder torsion (GT) that was successfully treated by single‐incision laparoscopic cholecystectomy. An 80‐year‐old woman presented with sudden pain and a palpable mass in the right upper quadrant. Contrast‐enhanced CT revealed ischemic changes, a swollen gallbladder with a V‐shaped distortion of the extrahepatic ducts, and the gallbladder in an abnormal anatomical position; clinical findings indicated GT. We performed single‐incision laparoscopic cholecystectomy and intraoperatively found that the floating gallbladder was twisted counterclockwise by 180° around the cystic duct. After an uneventful postoperative course, the patient was discharged on postoperative day 7. Laparoscopic cholecystectomy for a GT was first performed in 1994, and since then, 28 cases, including ours, have been treated laparoscopically. Laparoscopic cholecystectomy for GT could be the standard treatment for this condition, and single‐incision laparoscopic cholecystectomy may be a good surgical option for patients with GT because of its anatomical characteristics.