Gallbladder volvulus as a rare cause of acute abdomen: a case report

This case report describes the diagnosis and treatment of a 75-year-old woman who presented to the emergency department with acute abdomen. Preoperative diagnostic evaluation suggested acute acalculous cholecystitis. Because the differential diagnosis included cholecystitis, pancreatitis, gastritis, duodenal ulcer, and other causes of acute abdomen, and because the patient did not respond to conservative management, exploratory laparoscopy was performed. Intraoperatively, gallbladder volvulus with necrosis was identified. Prompt laparoscopic cholecystectomy resolved the patient’s condition and prevented complications such as perforation. This case highlights the importance of timely surgical evaluation and treatment to prevent serious complications, including gangrene and diffuse peritonitis.