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All Journal Neurologico Spinale Medico Chirurgico
. Jimmy
Resident of Surgery, Faculty of Medicine Udayana University, Sanglah General Hospital, Denpasar – Bali
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience

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PRE-OPERATIVE DIAGNOSTIC CHALLENGE OF TORSION OF THE GALLBLADDER Inge Kurniawati; . Jimmy; Wayan Periadijaya
Neurologico Spinale Medico Chirurgico Vol 1 No 3 (2018)
Publisher : Indoscholar

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Abstract

Gallbladder torsion is a very rare clinical entity and a difficult condition to diagnose preoperatively. Since its first description in 1898 by Wendel, there have been over 500 documented cases in the literature. The pathophysiology is that of mechanical organo-axial torsion along the gallbladder’s longitudinal axis involving the cystic duct and cystic artery, and with a pre-requisite of local mesenteric redundancy. Gallbladder torsion typically presents as an acute abdomen requiringemergency surgery but the preoperative diagnosis of gallbladder torsion is difficult and most cases are found as a surprise at surgery. Consequently, a delay in diagnosis can have devastating patient outcomes. Herein we report a case of acute gallbladder torsion in an elderly Balinese woman and treated surgically. To our knowledge, this is the first reported case in Bali with a subsequent literature review on the management of this uncommon condition.
Co-Authors Inge Kurniawati Wayan Periadijaya