Gallbladder volvulus history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]
Overview
Presentation of gallbladder volvulus is very non -specific. It is tough to diagnose based upon just the history and symptoms because patients present with acute abdominal pain with or without vomiting. At times there may be a tender mobile mass palpated suggestive of a floating gallbladder.
History and Symptoms
Lau et al grouped clinical features into three triads:[1]
- Triad of patient characteristics
- Thin patient
- Old patient with chronic chest disease
- Patient with deformed spine
- Triad of symptoms
- Typical abdominal pain
- Early onset of vomiting
- A short history of symptoms
- Triad of physical signs
References
- ↑ Lau WY, Fan ST, Wong SH (1982). "Acute torsion of the gall bladder in the aged: a re-emphasis on clinical diagnosis". Aust N Z J Surg. 52 (5): 492–4. PMID 6959595.