담낭염전
Torsion of the Gallbladder
이철희, 조현민, 서영진, 원용성, 진형민, 김준기, 박우배, 전정수,
소속 상세정보
이철희 ( Lee Chul-Hee )
가톨릭대학교 의과대학 성빈센트병원 외과학교실
조현민 ( Cho Hyeon-Min )
가톨릭대학교 의과대학 성빈센트병원 외과학교실
서영진 ( Suh Young-Jin )
가톨릭대학교 의과대학 성빈센트병원 외과학교실
원용성 ( Won Yong-Sung )
가톨릭대학교 의과대학 성빈센트병원 외과학교실
진형민 ( Chin Hyung-Min )
가톨릭대학교 의과대학 성빈센트병원 외과학교실
김준기 ( Kim Joon-Gi )
가톨릭대학교 의과대학 성빈센트병원 외과학교실
박우배 ( Park Woo-Bae )
가톨릭대학교 의과대학 성빈센트병원 외과학교실
전정수 ( Chun Chung-Soo )
가톨릭대학교 의과대학 성빈센트병원 외과학교실
KMID : 0371320020620040355
Abstract
Torsion of the gallbladder is a relatively rare disease and is generally due
to abnormal anatomical fixation of the gallbladder. It occurs when the
gallbladder twists axially, with subsequent occlusion of bile or blood flow
that requires prompt surgical treatment. We report here a case of torsion of
the gallbladder in a 75-year-old man with right upper quadrant abdominal
pain and heart failure. Ultrasonography and computed tomography demonstrated
a distended gallbladder that contained no stones. Since the symptoms did not
respond to antibiotics, a cholecystectomy was performed. We found the
gallbladder to be twisted around its pedicle and the patient had an
uneventful postoperative course. Gallbladder torsion should be treated early
particularly in high risk patient. Since its first description a century
ago, the diagnosis of gallbladder torsion prior to operative exploration has
been extremely elusive. However, there are typical clinical and radiological
findings consistent with torsion of the gallbladder that should raise the
index of suspicion for this condition preoperatively. We present a case of
gallbladder torsion and discuss the pertinent literature concerning the
salient clinical features and diagnostic tests.
키워드
담낭; 염전; Gallbladder; Torsion;
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