Volume 22

Number 1 January 2014

Torsion of gall bladder and duodenal obstrucation : A case report

DOI:

Ahmed I1 , Anisuzzaman Md.2 , Hossain ASM Z3 , Kabir A4

Abstract

A 22 year young adult male was admitted in this hospital with the complaints of severe pain in right hypochondrium and vomiting for 5 days. Pain was severe and continuous in nature and was non radiating. Pain was not associated with relieving or aggravating factors. Vomiting was occasional and usually after taking meals and vomitus contains undigested food and was bile stained. On examination patient was normal built, anaemia and jaundice was absent, abdomen was markedly tender in right hypochondrium and umbilical region with guardening and rigidity. Bowel sound was sluggish. Other systems were unremarkable.
His WBC count was 20000/cumm, Hb%- 14gm/d1, platelets count-289000/cumm, serum creatinine and electrolytes were within nonnal limits, liver function tests was within normal limits. USG of whole abdomen shows distended gall bladder with thickened gall bladder wall and fluid collection around the gall bladder, there was no echogenic shadow in the gall bladder. Plain X-ray abdomen showed a few fluid and gas shadow.

Keywords:


  1. Professor, Department of surgery

    Holy Family Red Crescent Medical College, Dhaka

  2. Assistant Professor, Department of surgery

    Holy Family Red Crescent Medical College, Dhaka

  3. Register, Department of surgery

    Holy Family Red Crescent Medical College, Dhaka

  4. Register, Department of surgery

    Holy Family Red Crescent Medical College, Dhaka

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Volume 22, Number 1 January 2014
Page: 22-44