Gallbladder volvulus history and symptoms

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Differentiating Gallbladder Volvulus from other Diseases

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]

Overview

Presentation of gallbladder volvulus is very non -specific. It is tough to diagnose based upon just the history and symptoms because patients present with acute abdominal pain with or without vomiting. At times there may be a tender mobile mass palpated suggestive of a floating gallbladder.

History and Symptoms

Lau et al grouped clinical features into three triads:[1]

  • Triad of patient characteristics
    • Thin patient
    • Old patient with chronic chest disease
    • Patient with deformed spine
  • Triad of symptoms
    • Typical abdominal pain
    • Early onset of vomiting
    • A short history of symptoms
  • Triad of physical signs

References

  1. Lau WY, Fan ST, Wong SH (1982). "Acute torsion of the gall bladder in the aged: a re-emphasis on clinical diagnosis". Aust N Z J Surg. 52 (5): 492–4. PMID 6959595.

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