Article Text

Gallbladder volvulus: a case of mimicry
  1. Maria Sangeetha Vedanayagam,
  2. Ioannis Nikolopoulos,
  3. Gnananandan Janakan,
  4. Ahmed El-Gaddal
  1. Department of Surgery, Queen Elizabeth Woolwich, London, UK
  1. Correspondence to Ioannis Nikolopoulos, inikolopoulos{at}


Torsion of the gallbladder resulting in a volvulus is a rare clinical finding that poses a diagnostic challenge preoperatively to both surgeons and radiologists. It is thought to occur secondary to a redundant mesentery where rotation of the gallbladder occurs along the axis of the cystic duct and cystic artery. Gallbladder volvulus commonly presents as acute cholecystitis and is rarely diagnosed preoperatively. An early emergency laparoscopic cholecystectomy is the preferred treatment. Early consideration of this diagnosis enables prompt surgical intervention and quick postoperative recovery periods.

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