# A case of gallbladder abscess caused by torsion that completely disappeared following drainage

**Authors:** Rika Yoshida, Shota Tanaka, Tomonori Nakamura, Anna Murata, Shota Kato, Hideyuki Nagai, Takeshi Yoshizako, Kazuhiro Kitajima, Yasushi Kaji

PMC · DOI: 10.1016/j.radcr.2024.06.037 · Radiology Case Reports · 2024-07-06

## TL;DR

An elderly woman with a rare gallbladder abscess caused by torsion was successfully treated with drainage, avoiding surgery and leading to full recovery.

## Contribution

Demonstrates successful non-surgical treatment of a rare gallbladder torsion with abscess using percutaneous drainage in an elderly patient.

## Key findings

- Percutaneous drainage resolved a gallbladder abscess caused by torsion in a 90-year-old woman.
- Post-treatment imaging showed complete resolution of the abscess and disappearance of the gallbladder.
- Non-surgical management avoided complications and proved effective in this complex abdominal condition.

## Abstract

A woman in her 90s presented with loss of appetite, lower back pain, abdominal pain, and fever. Physical examination and subsequent blood tests indicated an inflammatory process, and computed tomography (CT) scans revealed gallbladder torsion with necrosis and abscess formation. The case involved successful management of this rare condition through percutaneous drainage without the need for surgical intervention, avoiding complications during follow-up. Remarkably, post-treatment CT showed complete resolution of the gallbladder abscess and the gallbladder itself was no longer visible. This case highlights the effectiveness of minimally invasive treatment for gallbladder torsion in elderly patients and underscores the potential for non-surgical intervention in managing complex abdominal conditions.

## Full-text entities

- **Diseases:** inflammatory (MESH:D007249), fever (MESH:D005334), abdominal pain (MESH:D015746), gallbladder abscess (MESH:D005705), torsion (MESH:D050723), loss of appetite (MESH:D001068), lower back pain (MESH:D017116), abscess (MESH:D000038), necrosis (MESH:D009336)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11282931/full.md

## References

10 references — full list in the complete paper: https://tomesphere.com/paper/PMC11282931/full.md

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Source: https://tomesphere.com/paper/PMC11282931