Acute gallbladder volvulus continues to remain a relatively uncommon process, manifesting itself usually during exploration for an acute surgical abdomen with a presumptive diagnosis of acute cholecystitis. The pathophysiology is that of mechanical organo-axial torsion along the gallbladder's longitudinal axis involving the cystic duct and cystic artery, and with a pre-requisite of local mesent...

An 89 year old man presented to the emergency department with a two days history of acute onset abdominal pain in the upper right quadrant, with fever, vomiting and malaise. His medical history included peptic ulcer disease and tobacco abuse. There was no significant relevant past surgical history. He was dehydrated at presentation with the following vital signs: HR86 b/min, BP-100/50 mmHg, T-3...

Abstract A woman in her nineties presented with a 7-day history of right upper quadrant pain, nausea and anorexia. Examination findings included tenderness the positive Murphy’s sign. Laboratory studies were unremarkable normal white cell count, C-reactive protein liver functions tests. Ultrasound abdomen, however, demonstrated distended gallbladder containing sludge thickened wall. The patient...