This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (7)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

JOHN L. BUTSCH, MD; FRED LUCHETTE, MD
Buffalo

Arch Surg. 1985;120(11):1323.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—Unrecognized torsion of the gallbladder creates a catastrophic condition and should be borne in mind in the diagnosis of the acute abdomen. There have not been more than 300 cases reported in the literature, the first of which dates from 1898. However, Whipple and Sato¹ believed that the number has increased.

Report of a Case.—An 86-year-old man presented with the complaint of a sudden onset of pain in the right upper abdominal quadrant. The pain was sharp and non-radiating, remained constant, and was associated with a fever throughout the night. There was no history of jaundice nor did he have any history of fatty food intolerance.

On physical examination the patient was flushed, with a rectal temperature of 39.05 °C. His pulse rate was 120 beats per minute. His sclera were clear and his tongue was dry. The abdomen was symmetric. There was marked guarding . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?