PMC6580008_01
Abdominal CT revealed a distended, floating gallbladder located outside its normal fossa, with thickened wall and twisted pedicule (red arrow).
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Abdominal computed tomography (CT) revealed the presence of a distended, floating gallbladder measuring 12.2 x 8.2 x 7.6 cm located outside its normal fossa with thickened non-enhancing wall and a twisted pedicle (Fig. 1).
Intraoperative photo confirming the diagnosis of gangrenous cholecystitis complicating gallbladder volvulus.
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The gallbladder was completely rotated anticlockwise (360 ) around the cystic artery and the cystic duct (Fig. 2).
Intraoperative photo of distended and necrotic gallbladder after detorsion.
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After untwisting, it was found that the gallbladder had a complete long mesentery held closely to the liver (Fig. 3).