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©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Oct 14, 2014; 20(38): 14068-14072
Published online Oct 14, 2014. doi: 10.3748/wjg.v20.i38.14068
Published online Oct 14, 2014. doi: 10.3748/wjg.v20.i38.14068
Complete body-neck torsion of the gallbladder: A case report
Ta-Wei Pu, Chun-Yu Fu, Huai-En Lu, Department of Surgery, Song Shan Branch, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan
Wei-Tung Cheng, Department of Radiology, Song Shan Branch, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan
Author contributions: Pu TW and Fu CY designed and performed the research; Pu TW, Fu CY, Lu HE and Cheng WT analyzed the data and wrote the manuscript.
Correspondence to: Chun-Yu Fu, MD, Department of Surgery, Song Shan Branch, Tri-Service General Hospital, National Defense Medical Center, No. 131 Chien-Kang Road, Taipei 114, Taiwan. fuchunyu12@yahoo.com.tw
Telephone: +886-2-27684526 Fax: +886-2-27684526
Received: February 26, 2014
Revised: May 7, 2014
Accepted: June 13, 2014
Published online: October 14, 2014
Processing time: 231 Days and 17.2 Hours
Revised: May 7, 2014
Accepted: June 13, 2014
Published online: October 14, 2014
Processing time: 231 Days and 17.2 Hours
Core Tip
Core tip: Torsion of the gallbladder is a rare condition and is very difficult to diagnose preoperatively, despite advances in diagnostic imaging. This diagnosis should be considered in all elderly patients presenting with acute or non-resolving symptoms and signs suggestive of cholecystitis, particularly in the absence of gallstones. Early diagnostic imaging and prompt cholecystectomy are crucial. In this case of gross type 1 floating gallbladder, T2-weighted magnetic resonance imaging showed an intra-gallbladder segment located between the body and neck of the gallbladder. Magnetic resonance cholangiopancreatography indicated V-shaped distortion of the extrahepatic bile duct and a tapered cyst duct.