{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T03:20:33Z","timestamp":1785813633956,"version":"3.56.0"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Gallbladder torsion is rare and is more frequently seen in elderly women. Published case reports comment that diagnosis of this entity can be made preoperatively through imaging with some advocating removal laparoscopically. This case reports an elderly woman who underwent emergency laparotomy for a massively distended gallbladder with suspected cholecystitis. At laparotomy the gallbladder was found to be torted over 360\u00b0 round its pedicle of the cystic duct and artery. The torsion was so pronounced that the gallbladder was massively distended and grossly necrotic with a high risk of perforation. As the pedicle was long the gallbladder was easily separated form the liver and removed in its entirety. This case presented significant diagnostic and management difficulties. By observing the clinical features in the triad of triads for gallbladder volvulus prompt diagnosis, investigation and treatment can be started for this rare emergency presentation.<\/jats:p>","DOI":"10.1136\/bcr-2013-200407","type":"journal-article","created":{"date-parts":[[2013,8,21]],"date-time":"2013-08-21T12:45:59Z","timestamp":1377089159000},"page":"bcr2013200407","source":"Crossref","is-referenced-by-count":6,"title":["Torted gallbladder causing massive distension and gross necrosis; a rare surgical emergency"],"prefix":"10.1136","volume":"2013","author":[{"given":"William Robert","family":"Ball","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay","family":"Dalmia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shenbaga Kumar","family":"Rajamanickam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed Ayub","family":"Khan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,8,21]]},"reference":[{"key":"2025042709062918000_2013.aug21_1.bcr2013200407.1","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":"2013","author":"Reilly","year":"2012","journal-title":"HPB (Oxford)"},{"key":"2025042709062918000_2013.aug21_1.bcr2013200407.2","first-page":"492","article-title":"Acute torsion of the gall bladder in the aged: a re-emphasis on clinical diagnosis","volume":"2013","author":"Lau","year":"1982","journal-title":"ANZ J Surg"},{"key":"2025042709062918000_2013.aug21_1.bcr2013200407.3","doi-asserted-by":"crossref","unstructured":"Vedanayagam MS Nikolopoulos I Janakan G . Gallbladder volvulus: a case of mimicry. BMJ Case Rep. Published Online: 17 Jan 2013. doi:10.1136\/bcr-2012-007857","DOI":"10.1136\/bcr-2012-007857"},{"key":"2025042709062918000_2013.aug21_1.bcr2013200407.4","first-page":"965","article-title":"Gallbladder volvulus","volume":"2013","author":"Arslan","year":"2012","journal-title":"J Pak Med Assoc"},{"key":"2025042709062918000_2013.aug21_1.bcr2013200407.5","doi-asserted-by":"crossref","first-page":"235","DOI":"10.9738\/CC151.1","article-title":"Torsion of the gallbladder diagnosed by magnetic resonance cholangiopancreatography","volume":"2013","author":"Fukuchi","year":"2012","journal-title":"Int Surg"},{"key":"2025042709062918000_2013.aug21_1.bcr2013200407.6","doi-asserted-by":"crossref","unstructured":"Ohkura Y Hashimoto M Sasaki K . Complete acute gallbladder torsion diagnosed with abdominal ultrasonography and colour Doppler imaging. BMJ Case Rep 2013. doi:pii: bcr2012008460. 10.1136\/bcr-2012\u2013008460","DOI":"10.1136\/bcr-2012-008460"},{"key":"2025042709062918000_2013.aug21_1.bcr2013200407.7","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1186\/1752-1947-5-588","article-title":"A gallbladder torsion presenting as acute cholecystitis in an elderly woman: a case report","volume":"2013","author":"Boer","year":"2011","journal-title":"J Med Case Rep"},{"key":"2025042709062918000_2013.aug21_1.bcr2013200407.8","first-page":"137","article-title":"Uncommon cause of acute abdomen: volvulus of gallbladder with necrosis. Case report and review of literature","volume":"2013","author":"Bagnato","year":"2011","journal-title":"Ann Ital Chir"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-200407","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T16:06:41Z","timestamp":1745770001000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-200407"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,8,21]]},"references-count":8,"alternative-id":["10.1136\/bcr-2013-200407"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-200407","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,8,21]]}}}