PMC3015590_01
Ultrasound abdomen showing distended, horizontally placed gallbladder with calculi.
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F1
An ultrasound of the whole abdomen showed a distended horizontally placed gallbladder with irregular wall thickening containing multiple calculi. (Figure 1).
Distended gangrenous gallbladder being decompressed.
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F2
To facilitate further progress, the gallbladder was decompressed by aspiration and lifted up (Figure 2).
Torsion of the neck of the gallbladder.
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F3
To our surprise, on dissection, we noticed that the gallbladder had undergone complete rotation along its long axis (Figure 3).
The gallbladder being untwisted in a clockwise fashion.
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F4
It was derotated in a clockwise fashion (Figure 4).
PMC3015590_02