Document Detail


Torsion of the gallbladder: a systematic review.
MedLine Citation:
PMID:  22954002     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Gallbladder torsion is a rare disease, predominantly affecting elderly women. It is an important differential in the acute surgical abdomen.
METHODS: A total of 324 published case reports of torsion of the gallbladder were reviewed. Features in diagnostic imaging suggestive of torsion were reviewed and summarized.
RESULTS: Gallbladder torsion is primarily a disease of elderly people; the median age at presentation is 77 years. It is more common amongst women, occurring at a female : male ratio of 4 : 1, although not in childhood, when it occurs at a male : female ratio of 2.5 : 1.
CONCLUSIONS: Improved imaging techniques within the last 20 years have enabled the preoperative diagnosis of one quarter of patients with gallbladder torsion. With prompt surgical intervention, the condition has an excellent prognosis.
Authors:
Daniel J Reilly; George Kalogeropoulos; Dhan Thiruchelvam
Publication Detail:
Type:  Journal Article; Review     Date:  2012-07-03
Journal Detail:
Title:  HPB : the official journal of the International Hepato Pancreato Biliary Association     Volume:  14     ISSN:  1477-2574     ISO Abbreviation:  HPB (Oxford)     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-07     Completed Date:  2013-01-29     Revised Date:  2013-10-09    
Medline Journal Info:
Nlm Unique ID:  100900921     Medline TA:  HPB (Oxford)     Country:  England    
Other Details:
Languages:  eng     Pagination:  669-72     Citation Subset:  IM    
Copyright Information:
© 2012 International Hepato-Pancreato-Biliary Association.
Affiliation:
Hepatobiliary and Upper Gastrointestinal Surgery Unit, St Vincent's Hospital, Fitzroy, Vic, Australia.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Biliary Tract Surgical Procedures
Diagnostic Imaging / methods
Female
Gallbladder* / pathology,  physiopathology,  surgery
Gallbladder Diseases* / diagnosis,  epidemiology,  physiopathology,  surgery
Humans
Male
Middle Aged
Predictive Value of Tests
Prognosis
Risk Factors
Sex Factors
Torsion Abnormality
Comments/Corrections

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