A Twisted Cause of Abdominal Pain

An 86-year-old woman has acute nausea, vomiting, & right Abdominal pain. CT shows a distended, displaced gallbladder. What is the rare but critical diagnosis?

Gallbladder volvulus


An 86-year-old woman presented with 1 day of nausea, vomiting, and right-sided abdominal pain. Computed tomography of the abdomen and pelvis revealed a distended gallbladder with a thickened wall outside the gallbladder fossa. There was also swirling of the cystic artery and duct but no dilatation of the common bile duct. Which of the following is most likely diagnosis?

What is the most likely diagnosis?

Acalculous cholecystitis
Cholangiocarcinoma
Cholangitis
Ectopic gallbladder
Gallbladder volvulus

Abdominal CT, Acute Abdomen, Cholecystectomy, Gallbladder volvulus, General Surgery

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