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Gallbladder Pathology Online

Pathology of Floating (Wandering) Gallbladder and Torsion of the Gallbladder

Dr Sampurna Roy  MD

 

A floating gallbladder hangs on a mesentery which makes it liable to undergo torsion.

A long mesentery or a very short/absent mesentery allow mobility of the gallbladder along its vertical axis.

Torsion, or volvulus, of the gallbladder occurs when it twists axially, with the subsequent occlusion of bile and/or blood flow. It is rare and is difficult to diagnose preoperatively. It was first described by Wendel in 1898  

(A. V. Wendel, “Case of floating gall-bladder and kidney complicated by cholelithiasis with perforation of the gallbladder,” Annals of Surgery, vol. 27, no. 2, pp. 199–202, 1898.)

This rare condition usually occurs in the elderly patients.

Early diagnosis of gallbladder torsion is important  to avoid the complication of perforation and bilious peritonitis.

Sharon Gabizon, Kimberley Bradshaw, Eshwarshanker Jeyarajan, Rafid Alzubaidy, and Victor Liew, “Gallbladder Torsion: A Diagnostic Challenge,” Case Reports in Surgery, vol. 2014, Article ID 902814, 2 pages, 2014. doi:10.1155/2014/902814

 

Further reading:

Torsion of Wandering Gallbladder following Colonoscopy

Floating gallbladder: a questionable prelude to torsion:

Wandering gallbladder.

Torsion of the gall bladder

On the genesis of the so-called wandering gall-bladder

Acute cholecystitis due to strangulation of a floating gallbladder by lesser omentum

The wandering gallbladder.

Floating gallbladder associated with histologically distinct double cancers.

Acute gallbladder torsion: an unexpected intraoperative finding

Gallbladder Torsion: A Diagnostic Challenge

Hypoplasia of the left hepatic lobe associated with floating gallbladder: a case report

Hypoplasia of the right hepatic lobe combined with a floating gallbladder

 

 

 

Dr  Sampurna Roy  MD

Consultant  Histopathologist (Kolkata - India)

 

 

 

 

          

 

 

 

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