Ulus Travma Acil Cerrahi Derg. 2015; 21(6): 531-533 | DOI: 10.5505/tjtes.2015.35418

Geceyi zehir etmek, kalýn baðýrsak malinitesinin eþlik ettiði safra kesesi torsiyonu

Sumer Shikhare¹, Michael Clarke¹, Trishna Shimpi¹, Cheah Yee Lee^2
1Alexandra Saðlýk, Khoo Teck Puat Hastanesi, Tanýsal Radyoloji Bölümü, Singapur
²Alexandra Saðlýk, Khoo Teck Puat Hastanesi, Cerrahi Kliniði, Hepato-pankreato-bilier Cerrahi Bölümü, Singapur

Safra kesesi (SK) torsiyonu yaþlýlarda seyrek görülen acil bir durumdur. Safra kesesinin kist arter ve kanalý ekseni çevresinde dönmesi nedeniyle oluþur. Bu çalýþma yaþlý bir kadýn hastada multidedektörlü bilgisayarlý tomografi (BT) ile taný konmuþ bir akut SK torsiyonu olgusunu raporlamayý amaçlamýþtýr. Safra kesesi torsiyonunun ameliyat öncesi tanýsýna yardýmcý olmak için kullanýlabilen klinik ve görüntüleme özellikleri BT kriterleri vurgulanarak tartýþýlmýþtýr.

Anahtar Kelimeler: Ameliyat öncesi taný, bilgisayarlý tomografi; kalýn baðýrsak malinitesi; safra kesesi torsiyonu.

---

Twistin’ the night away: gallbladder torsion accompanying large bowel malignancy

Sumer Shikhare¹, Michael Clarke¹, Trishna Shimpi¹, Cheah Yee Lee^2
1Department Of Diagnostic Radiology, Khoo Teck Puat Hospital, Alexandra Health, Singapore
²Department Of Surgery, Hepatobiliary And Pancreatic Surgery, Khoo Teck Puat Hospital, Alexandra Health, Singapore

Gallbladder (GB) torsion is a rare surgical emergency seen in the elderly. It occurs due to the rotation of the gallbladder along the axis of the cystic artery and cystic duct. This study aimed to report a case of an acute GB torsion in an elderly female patient diagnosed by multi-detector computed tomography (MDCT). The clinical and imaging features of GB torsion, which can be used to assist in the preoperative diagnosis, were also discussed with emphasis on CT criteria.

Keywords: Computed tomography, gallbladder torsion; large bowel malignancy; preoperative diagnosis.

---

ATIF KOPYALA