Abstract
Gallbladder torsion with ischemic wall necrosis is a rare condition, as gallbladder herniation. We describe here an original case of a patient with a symptomatic incisional hernia containing a gangrenous gallbladder twisted about its pedicle. We report preoperative findings on CT-scan and emergency surgical management.
Highlights
Gallbladder torsion with ischemic wall necrosis is a rare condition, as gallbladder herniation
We describe here an original case of a patient with a symptomatic incisional hernia containing a gangrenous gallbladder twisted about its pedicle
Case description An 81-year-old woman was admitted in our institution for abdominal sepsis for 3 days. Her medical history included an obstructive left-sided colonic cancer 10 years ago, treated first by a discharge colostomy followed by open left-colectomy
Summary
Gallbladder torsion with ischemic wall necrosis is a rare condition, as gallbladder herniation. We describe here an original case of a patient with a symptomatic incisional hernia containing a gangrenous gallbladder twisted about its pedicle. This case represents diagnostic and therapeutic challenging. Case description An 81-year-old woman was admitted in our institution for abdominal sepsis for 3 days. Her medical history included an obstructive left-sided colonic cancer 10 years ago, treated first by a discharge colostomy followed by open left-colectomy. An emergency contrast-enhanced multislice helical-computed tomography (CT) scan revealed a large incisional hernia containing some digestive structures (satisfactory vascular enhancement of caecum and jejunum) and a thick-walled gallbladder (Figure 1).
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