Abstract
1. 1. A case of acute torsion of the gallbladder with gangrene is described and a brief report is given of another personal experience with axial rotation of the gallbladder. 2. 2. Acute torsion and axial rotation of the gallbladder should be considered as two separate conditions. 3. 3. Preoperative diagnosis is possible if a careful history is obtained and accurate clinical observations are noted. 4. 4. The non-toxic appearance of the patient with definite point tenderness should make one suspicious of acute torsion of the gallbladder. 5. 5. Early cholecystectomy is the procedure of choice and care must be taken here as in all branches of surgery so that clinical judgment shall not be allowed to be subservient to any particular symptom or sign or laboratory report.
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