International Journal of Critical Illness and Injury Science

CASE REPORT
Year
: 2019  |  Volume : 9  |  Issue : 2  |  Page : 87--90

Gallbladder volvulus in a patient with chronic lymphocytic leukemia treated with laparoscopic cholecystectomy


Benjamin B Scott1, Lisa Guo1, Jose Santiago2, Charles H Cook1, Charles S Parsons1 
1 Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
2 Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA

Correspondence Address:
Dr. Benjamin B Scott
110 Francis Street, Suite 9B, Boston, Massachusetts 02215
USA

Gallbladder volvulus is a rare condition that most commonly occurs in elderly women and often mimics acute cholecystitis in its presentation. This condition is a surgical emergency requiring cholecystectomy as it can lead to gallbladder perforation and bilious peritonitis with high morbidity to the patient. An 85-year-old woman with chronic lymphocytic leukemia presented with acute-onset right upper-quadrant abdominal pain and associated nausea with emesis. After admission to the surgical service and initiation of intravenous antibiotics, the patient was taken to the operating room for surgical management due to the persistence of symptoms. Intraoperative findings included a necrotic appearing gallbladder that was twisted on the cystic duct. Laparoscopic cholecystectomy was performed, which was complicated by bile leak requiring endoscopic retrograde cholangiopancreatography with bile duct stenting followed by operative washout. Gallbladder volvulus can be challenging to diagnose. This condition should be suspected in elderly women with acute-onset abdominal pain and imaging concerning for acute cholecystitis. Emergent cholecystectomy is the treatment of choice for gallbladder volvulus.


How to cite this article:
Scott BB, Guo L, Santiago J, Cook CH, Parsons CS. Gallbladder volvulus in a patient with chronic lymphocytic leukemia treated with laparoscopic cholecystectomy.Int J Crit Illn Inj Sci 2019;9:87-90


How to cite this URL:
Scott BB, Guo L, Santiago J, Cook CH, Parsons CS. Gallbladder volvulus in a patient with chronic lymphocytic leukemia treated with laparoscopic cholecystectomy. Int J Crit Illn Inj Sci [serial online] 2019 [cited 2021 Jan 17 ];9:87-90
Available from: https://www.ijciis.org/article.asp?issn=2229-5151;year=2019;volume=9;issue=2;spage=87;epage=90;aulast=Scott;type=0