{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T11:26:26Z","timestamp":1789212386874,"version":"build-2803163510"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,9,3]],"date-time":"2020-09-03T00:00:00Z","timestamp":1599091200000},"content-version":"vor","delay-in-days":246,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The gallbladder volvulus is a rare surgical emergency and its defined as the rotation of the gallbladder on its mesentery along the axis of the cystic duct and cystic artery. Definitive diagnosis is usually made during surgery and a delay in treatment may result in a high mortality due to rupture of gall bladder and bile peritonitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>We report the case of an 88-year-old woman who presented with an acute torsion of gall bladder, which was treated promptly after admission by laparoscopic cholecystectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Acute torsion of gall bladder is a rare disease. Its pathogenesis is not well known but postulated to be multifactorial. Two anatomic variants that predispose to gall bladder torsion have been described. Clinical presentation is not specific, with symptoms and biologic signs that mimic acute cholecystitis.<\/jats:p>\n                    <jats:p>This condition should be suspected in elderly women with uncertain diagnosis of acute cholecystitis or acute abdominal pain of unknown origin.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Gallbladder volvulus is a rare life-threatening surgical emergency that requires emergency surgical treatment. Out- come is often favorable when early diagnosis and surgery are made.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.09.001","type":"journal-article","created":{"date-parts":[[2020,9,6]],"date-time":"2020-09-06T07:31:19Z","timestamp":1599377479000},"page":"81-84","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":15,"title":["Gallbladder volvulus, a rare cause of acute abdomen, a case report"],"prefix":"10.1097","volume":"75","author":[{"given":"M.","family":"Bouzas Cardaci","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. V.","family":"Bivoleanu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-19-20260114","first-page":"199","article-title":"A case of floating gallbladder and kidney complicated by Cholelithiasis, with perforation of the gall-bladder","volume":"27","author":"Wendel","year":"1898","journal-title":"Ann. Surg"},{"key":"R2-19-20260114","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1111\/j.1477-2574.2012.00513.x","article-title":"Torsion of the gallbladder: a systematic review","volume":"14","author":"Reilly","year":"2012","journal-title":"HPB (Oxford"},{"key":"R3-19-20260114","doi-asserted-by":"crossref","first-page":"4599","DOI":"10.3748\/wjg.v12.i28.4599","article-title":"Volvulus of the gallbladder diagnosed by ultrasonography, computed tomography, coronalmagnetic resonance imaging and magnetic resonance cholangio-pancreatography","volume":"12","author":"Matsuhashi","year":"2006","journal-title":"World J. Gastroenterol"},{"key":"R4-19-20260114","first-page":"5626531","article-title":"Gallbladder volvulus in a patient with type I choledochal cyst: a case report and review of the literature","volume":"2016","author":"Younan","year":"2016","journal-title":"Case Rep. Surg"},{"key":"R5-19-20260114","first-page":"e3726","article-title":"Expect the unexpected: torsion of the gallbladder, a rare cause for acute cholecystitis","volume":"10","author":"Hwang","year":"2018","journal-title":"Cureus"},{"key":"R6-19-20260114","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1001\/archsurg.1936.01180190134008","article-title":"Congenital anomalies of the gallbladder, review of one. Hundred and forty-eight cases, with report of a double gallbladder","volume":"32","author":"Gross","year":"1936","journal-title":"Arch Surg"},{"key":"R7-19-20260114","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1002\/bjs.18004519207","article-title":"Acute torsion of the gallbladder; post-mortem findings in two cases","volume":"45","author":"Levene","year":"1958","journal-title":"Br. J. Surg"},{"key":"R8-19-20260114","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1111\/j.1445-2197.1982.tb06036.x","article-title":"Acute torsion of the gall bladder in the aged: a re-emphasis on clinical diagnosis","volume":"52","author":"Lau","year":"1982","journal-title":"Aust. N. Z. J. Surg"},{"key":"R9-19-20260114","first-page":"965","article-title":"Gallbladder volvulus","volume":"62","author":"Arslan","year":"2012","journal-title":"J. Pak. Med. Assoc"},{"key":"R10-19-20260114","doi-asserted-by":"crossref","first-page":"147","DOI":"10.4293\/108680810X12674612765588","article-title":"Diagnosis and laparoscopic approach to gallbladder torsion and cholelithiasis","volume":"14","author":"Garciavilla","year":"2010","journal-title":"JSLS"},{"key":"R11-19-20260114","first-page":"105","article-title":"Volvulus of the gallbladder","volume":"116","author":"Carter","year":"1963","journal-title":"Surg. Gynecol. Obstet"},{"key":"R12-19-20260114","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1111\/jgh.14619","article-title":"Gallbladder volvulus: a rare cause of acute gallbladder distension","volume":"34","author":"Escalard","year":"2019","journal-title":"J. Gastroenterol. Hepatol"},{"key":"R13-19-20260114","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1007\/s005340050143","article-title":"Gallbladder torsion: case report and review of 245 cases reported in the Japanese literature","volume":"6","author":"Nakao","year":"1999","journal-title":"J. Hepatobiliary. 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