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November 1968

Torsion of the Gallbladder

Author Affiliations

Hines, Ill
From the Surgical Research Section, Veterans Administration Hospital, Hines, Ill.

Arch Surg. 1968;97(5):750-752. doi:10.1001/archsurg.1968.01340050090012

TORSION of the gallbladder is an acute abdominal emergency, which is seldom diagnosed before operation, and, if it is not treated promptly it will most likely result in death. Since the relaxed tissues of the aged are conducive to development of this condition and because population age is on the increase, more frequent occurrence of torsion of the gallbladder is to be expected. In order to call attention to this rare entity, a survey of the literature and a case report are presented.

In 1898, Wendel1 reported the first case of torsion of the gallbladder. This occurred in a young woman who had a floating gallbladder which contained stones and which twisted and perforated producing a pericholecystic abscess. In reviewing the American medical literature, it was surprising to find how seldom this entity was mentioned. Levene2 (1958) recorded only 200 cases in the world literature. The majority of