Abstract
A 58-year-old female was admitted for sudden upper abdominal pain and vomiting. Spontaneous pain and tenderness without muscular guarding of the upper abdomen was present. Blood chemistry was normal except for WBC of 13200/μl and CRP of 0.2 mg/dl. Ultrasonic study showed the gallbladder was deviated to medially and the cystic duct was not visualized. CT showed the gallbladder was deviated to medially, and the wall of it was not enhanced. Torsion of the gallbladder was diagnosed and laparoscopic cholecystectomy (LC) was performed. During surgery, it was found that the gallbladder was Gross type-I floating gallbladder and was twisted counterclockwise by 180 degrees around the cervical portion and cystic duct, developing necrosis. Torsion of the gallbladder is caused by the floating gallbladder and LC is regarded as the most useful way to treat this condition.
