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  • Title: Torsion of the gallbladder in pregnancy. A case report.
    Author: Kleiss K, Choy-Hee L, Fogle R, Lindsay M.
    Journal: J Reprod Med; 2003 Mar; 48(3):206-8. PubMed ID: 12698782.
    Abstract:
    BACKGROUND: Gallbladder torsion is rarely diagnosed in pregnancy, but prompt surgical intervention is necessary to avoid possible sepsis and death. CASE: A 28-year-old, African American woman at 30(6/7) weeks' gestation was admitted with the presumed diagnosis of acute cholecystitis. The patient was treated conservatively. However, on re-examination, the patient's physical examination and laboratory values worsened. She underwent an exploratory laparotomy, which revealed a twisted gallbladder. A cholecystectomy was performed after untwisting of the gallbladder. Postoperatively the patient did well and subsequently delivered a healthy infant at 38(2/7) weeks' gestation. CONCLUSION: Surgical evaluation of an acute abdomen in pregnancy should not be delayed. For a presumed diagnosis of acute cholecystitis that does not improve after conservative measures are taken, gallbladder torsion should be added to the differential diagnosis.
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