Vólvulo da vesícula biliar tratado por colecistectomia laparoscópica

• Main Author: Coelho,Júlio Cezar Uili
• Publication Date: 2001
• Other Authors: Bonin,Eduardo A., Cunha,Andréia G. P. da
• Format: Article
• Language: por
• Source: Revista do Colégio Brasileiro de Cirurgiões
• Download full: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912001000200013
• topic: Volvulus of the gallbladder; Torsion of the gallbladder; Gangrene of the gallbladder; Acute cholecystitis; Cholecystectomy; Laparoscopy

Our objective is to report a case of gallbladder torsion treated by laparoscopic cholecystectomy. A 87 year old patient presented with intense right upper quadrant pain, anorexia, nausea and vomiting. Murphy's sign was present at physical examination. Hemogram showed 9.200 leukocytes/mm³, with six bands. Ultrassonography showed a distended gallbladder, perivesicular fluid collection, wall edema, and sludge with stones inside. At laparoscopic cholecystectomy, there was a complete gallbladder torsion with areas of necrosis. There was no postoperative complication. Pathologic examination confirmed the diagnosis of acute calculous cholecystitis with areas of necrosis.