Acute necrotizing torsion of the gallbladder.

Torsion of the gallbladder is an extremely rare cause of acute surgical abdomen. Although gallbladder torsion has been reported the diagnosis remains elusive and is often missed. A case of necrotizing gallbladder torsion is examined, and the literature is reviewed by the authors. History peak incidence and pathophysiology are discussed, and possible risk factors are identified. We conclude that torsion of the gallbladder is a condition that has minimal clinical findings.