The gallbladder volvulus: an uncommon cause of acute cholecystitis. A case report

The gallbladder volvulus is a rare disease, preoperative diagnosis is very difficult, it is a disease whose prognosis depends on early diagnosis and treatment. The Computed tomography seems most contributory to preoperative diagnosis. The therapeutic management is often surgical and cholecystectomy should be carried out immediately to prevent progression to gangrene and perforation of the gallbladder responsible for an often fatal biliary peritonitis. Our message through this work is that it should never adopt an exclusive medical treatment with antibiotics in case of acute acalculous cholecystitis in an elderly patient before eliminating a volvulus of the gallbladder. We report the case of gallbladder volvulus diagnosed preoperatively by CT and we discuss diagnostic aspects and therapeutic implications, while stressing the importance of the scanner in the preoperative diagnosis.