The Diagnostic Challenge of Gallbladder Volvulus: A Case Report

Background: Gall bladder volvulus is a rare intra-operative diagnosis mimicking acute cholecystitis, usually seen in elderly females. Clinical Description: Patients usually present with acute onset, right upper quadrant pain in the abdomen. It may be associated with vomiting, jaundice or a palpable lump Management: Though conservative percutaneous drainage is attempted as an initial procedure, the definite management includes a cholecystectomy with laparoscopic approach preferred over open surgery. Conclusion: Diagnosis of gall bladder volvulus is challenging and often impossible pre-operatively. Delay in definite surgical management increases the mortality and morbidity of the patients.