Gallbladder Volvulus (Torsion) Clinical Presentation

Updated: Nov 05, 2020
  • Author: Alan A Saber, MD, MS, FACS, FASMBS; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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History and Physical Examination

The clinical features of gallbladder volvulus can be grouped into three triads, as follows [7] :

  • First triad - Advanced age, thinness, and deformed spine
  • Second triad - Right-upper-quadrant abdominal pain, early onset of vomiting, and a short history of symptoms
  • Third triad - Abdominal mass, lack of toxemia or jaundice, and discrepancies in pulse and temperature

Incomplete torsion usually is associated with recurrent episodes of slowly progressive pain, whereas complete torsion has an acute presentation.