Gallbladder Volvulus in a Patient with Type I Choledochal Cyst: A Case Report and Review of the Literature

Figure 3

An intraoperative photograph showing the severe distention and discoloration of the gallbladder. This was observed upon entry into the abdomen, the gallbladder was found to be torsed around the cystic duct and cystic artery (shown next to the instrument tip), and there was no other attachment between the gallbladder and the liver. Figure 2(b) shows the gallbladder after it was opened on the back table; no gallstones were found. There was a significant gallbladder wall thickening and necrosis.

(a)

(b)