# Gallbladder Volvulus: A Necessary Consideration When Managing Cholecystitis Conservatively

## TL;DR

Gallbladder volvulus is a rare condition that can be missed in older patients with cholecystitis and requires more than just antibiotics for treatment.

## Contribution

This case report emphasizes the importance of considering gallbladder volvulus in the differential diagnosis of cholecystitis.

## Key findings

- Gallbladder volvulus is rare and often misdiagnosed due to vague symptoms and unreliable imaging.
- Antibiotics alone are insufficient for managing gallbladder volvulus.
- Older patients with comorbidities are particularly affected and require careful surgical decision-making.

## Abstract

Gallbladder volvulus is a rare surgical pathology predominantly affecting an older patient profile, in which frailty and comorbidities play an important role in surgical decision-making. The difficulty in accurately diagnosing this condition lies in the vague, non-specific symptoms and the lack of a reliable radiological diagnosis. This case report describes the management of gallbladder volvulus in a 91-year-old female and highlights the fact that antibiotics alone will not manage this pathology. Therefore, this condition must be part of the differential diagnosis when considering conservative management of cholecystitis.