A Surgical “Chimera”: The Gallbladder Volvulus in the Spigelian Hernia Sac

[...]it was reported that only four cases to date have been correctly preoperatively diagnosed,3 therefore, the exact preoperative diagnosis remains a challenge! In the literature clinical presentation mimicking acute appendicitis has already been reported, thus a case of gallbladder volvulus in a p...

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Bibliographic Details
Published in:The American surgeon 2017-01, Vol.83 (1), p.11-12
Main Authors: Donati, Marcello, Brancato, Giovanna, Scilletta, Roberto, Deiana, Enrica, Basile, Guido
Format: Article
Language:English
Subjects:
Abdomen
Aged, 80 and over
Diagnosis, Differential
Emergency medical care
Female
Gallbladder
Gallbladder diseases
Gallbladder Diseases - complications
Gallbladder Diseases - diagnosis
Hernia, Ventral - complications
Hernia, Ventral - diagnosis
Hernias
Humans
Laboratories
Medical imaging
Surgery
Torsion Abnormality - complications
Torsion Abnormality - diagnosis
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Summary:[...]it was reported that only four cases to date have been correctly preoperatively diagnosed,3 therefore, the exact preoperative diagnosis remains a challenge! In the literature clinical presentation mimicking acute appendicitis has already been reported, thus a case of gallbladder volvulus in a parastomal hernia already exists,4 but to the best of our knowledge this is the first case of perforated gallbladder volvulus in a primitive Spigelian hernia, which, due to the hard right pararectal swelling that was very painful together with the acute abdomen clinical and laboratory picture, and unclear CT scan interpretation, was misdiagnosed as a strangulated Spigelian hernia also because the patient was presenting a very thin abdominal wall and a Spigelian hernia sac.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481708300108