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April 22, 1939, Vol 112, No. 16 >

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Other Articles | April 22, 1939

TORSION OF THE GALLBLADDER

William H. Berry, M.D.
JAMA. 1939;112(16):1580-1581. doi:10.1001/jama.1939.62800160008010d.
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Torsion of the gallbladder is such a rare condition that of the few cases reported only four occurred in this country. Shipley,1 in a thorough search of the literature, was able to find twenty-one cases, most of which were reported in the English and German literature.

Before reporting these cases I shall state briefly the five possible anatomic arrangements and positions of the gallbladder:

  1. 1. The gallbladder may be embedded in the liver tissue.

  2. 2. It may be closely attached to the under surface of the liver with no intervening layer of connective tissue.

  3. 3. The outer end of the fundus may be surrounded by peritoneum and the rest attached to the liver, but not actually touching it, because of an interposed layer of fibrous tissue. This is the normal anatomic arrangement.

  4. 4. The gallbladder may be completely surrounded by peritoneum and lie free in the abdomen except for

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