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TORSION OF THE GALL‐BLADDER
Author(s) -
Gillett D. J.
Publication year - 1966
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1966.tb04397.x
Subject(s) - medicine , torsion (gastropod) , gallbladder , gall , abdominal pain , surgery , epigastric pain , cholecystitis , acute cholecystitis , presentation (obstetrics) , irritation , vomiting , botany , biology , immunology
Summary Strangulating torsion of the gall‐bladder is a rare acute abdominal emergency that occurs typically in elderly visceroptotic female patients, but can occur in either sex at any age. The presenting symptom is midline epigastric pain that resembles biliary colic. In about twenty‐four hours it passes to the right hypochondrium and signs of very localized tenderness and peritoneal irritation develop. The differentiation from acute cholecystitis is the absence of toxicity at the time of presentation.