Gallbladder torsion in pregnancy: a case report and literature review. (3rd October 2022)

• Record Type: Journal Article
• Authors: Ogawa, Chiemi; Tsuji, Shunichiro; Katsura, Daisuke; Zen, Rika; Kasahara, Makiko; Hoshiyama, Takako; Tokoro, Shinsuke; Hayashi, Kaori; Murakami, Takashi
• Is Part Of: Journal of obstetrics and gynaecology. Volume 42:Number 7(2022)
• Page Start: 3384
• Page End: 3386
• Publication Date: 2022-10-03
• Subjects: Gallbladder torsion -- pregnancy -- preoperative diagnosis -- cholecystectomy -- imaging; Obstetrics -- Periodicals; Gynecology -- Periodicals; 618.05
• DOI: 10.1080/01443615.2022.2106835
• Languages: English
• ISSNs: 0144-3615

Abstract

Abstract: Gallbladder torsion is a rare disease that requires immediate surgical intervention to avoid maternal and/or foetal sepsis and death. However, preoperative diagnosis is challenging because the disease has no specific symptoms. A 37-year-old pregnant woman at 34 weeks of gestation presented with severe epigastric pain. Ultrasonography and computed tomography scan findings showed a distended gallbladder without stones, floating from the hepatic bed, and laboratory examination demonstrated normal liver function; therefore, we made a diagnosis of gallbladder torsion and performed a caesarean section and an open cholecystectomy under general anaesthesia. This is the first report wherein gallbladder torsion in pregnancy was diagnosed preoperatively. Gallbladder torsion should be considered as a differential diagnosis in case of such imaging findings.