Acute torsion of the gall bladder in the aged: a re-emphasis on clinical diagnosis

Aust N Z J Surg. 1982 Oct;52(5):492-4. doi: 10.1111/j.1445-2197.1982.tb06036.x.

Abstract

Three cases of torsion of the gall bladder in the aged are presented. From a review of the clinical features of these cases and the cases reported in the literature, a definite clinical pattern emerged. The clinical features can be grouped into three triads: a triad of the patient's characteristics which consists of a thin, old patient with chronic chest disease or a deformed spine; a triad of symptoms which consists of typical abdominal pain, early onset of vomiting and a short history; and a triad of physical signs which consists of an abdominal mass, a lack of toxaemia or jaundice and a discrepancy in the pulse and temperature. If most, if not all, of these features are present, torsion of the gall bladder should be presented. We re-emphasize that a clinical suspicion or diagnosis of torsion of the gall bladder is possible. The treatment is early cholecystectomy.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Aged
  • Female
  • Gallbladder Diseases / diagnosis*
  • Gallbladder Diseases / pathology
  • Humans
  • Male
  • Torsion Abnormality