An 86-year-old woman presented with 1 day of nausea, vomiting, and right-sided abdominal pain. Computed tomography of the abdomen and pelvis revealed a distended gallbladder with a thickened wall outside the gallbladder fossa. There was also swirling of the cystic artery and duct but no dilatation of the common bile duct.
Which of the following is most likely diagnosis?
A. Acalculous cholecystitis
B. Cholangiocarcinoma
C. Cholangitis
D. Ectopic gallbladder
E. Gallbladder volvulus
答案解析：
腹腔镜检查证实胆囊扭转时，观察到围绕胆囊动脉和胆管的自由漂浮、坏死的胆囊。手术转为开放式手术，成功完成胆囊扭转和切除。
正确答案：E
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