# Acute Abdominal Pain Revealing Gallbladder Torsion: A Rare Case

## TL;DR

This paper reports a rare case of gallbladder torsion in an elderly woman, highlighting the importance of early diagnosis and treatment to prevent severe complications.

## Contribution

The paper contributes a rare clinical case of gallbladder torsion with necrosis and septicemia in an elderly patient.

## Key findings

- Gallbladder torsion can present with acute abdominal pain and lead to necrosis and septicemia.
- Prompt surgical intervention is crucial to prevent life-threatening complications in elderly patients.
- The condition requires a high clinical suspicion for timely diagnosis and management.

## Abstract

We present the case of a 91-year-old woman who was diagnosed with acute gallbladder torsion, complicated by gallbladder necrosis and the development of septicemia. The torsion involved the cystic duct and cystic artery. Gallbladder volvulus is a rare but potentially life-threatening condition that necessitates a high index of clinical suspicion to ensure timely surgical management. Although its exact etiology remains unclear, several theories have been proposed to explain its pathogenesis. Prompt diagnosis and surgical management of gallbladder volvulus is important to avoid the morbidity and mortality of gangrenous cholecystitis and biliary peritonitis in a frail old population of patients.