Users Online : 264 About us |  Subscribe |  e-Alerts  | Feedback | Login   
Journal of Minimal Access Surgery Current Issue | Archives | Ahead Of Print Journal of Minimal Access Surgery
           Print this page Email this page   Small font sizeDefault font sizeIncrease font size 
 
UNUSUAL CASE
Ahead of Print

Torsion of suprahepatic gall bladder


1 Department of Emergency Medicine, Gumi CHA Medical Center, CHA University, Gumi, Republic of Korea
2 Department of Surgery, Gumi CHA Medical Center, CHA University, Gumi, Republic of Korea

Correspondence Address:
Se Kook Kee,
Department of Surgery, Gumi CHA Medical Center, CHA University, 12 Sinsi-ro 10 Gil, Gumi 39295
Republic of Korea
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.JMAS_171_20

Suprahepatic gall bladder is rare, and torsion of the ectopic gall bladder is extremely rare. We report a patient of acute suprahepatic cholecystitis with torsion. A 69-year-old Korean male was admitted to our hospital for sudden-onset, severe epigastric pain. Abdominal computed tomography and ultrasonography showed a distended gall bladder with diffuse wall thickening and scanty pericholecystic fluid, which was located in ectopic suprahepatic position, accompanied by S4 hypotrophy of the liver without gallstones. Emergency laparoscopic cholecystectomy was performed, and intraoperative findings revealed a distended and ischaemic gall bladder that was located in the suprahepatic position and had twisted along the cystic duct and artery pedicle in a clockwise manner. Detorsion was done and the gall bladder was resected. Unfortunately, the pre-operative diagnosis of gall bladder torsion was missed, and a definite diagnosis was made at the time of surgery. The patient was discharged on the 4th post-operative day.


Print this article
Search
 Back
 
  Search Pubmed for
 
    -  Nho WY
    -  Kim JO
    -  Nam SY
    -  Kee SK
 Citation Manager
 Article Access Statistics
 Reader Comments
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed437    
    PDF Downloaded9    

Recommend this journal

2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04