Abstract
We present the case of a 91-year-old woman who was diagnosed with acute gallbladder torsion, complicated by gallbladder necrosis and the development of septicemia. The torsion involved the cystic duct and cystic artery. Gallbladder volvulus is a rare but potentially life-threatening condition that necessitates a high index of clinical suspicion to ensure timely surgical management. Although its exact etiology remains unclear, several theories have been proposed to explain its pathogenesis. Prompt diagnosis and surgical management of gallbladder volvulus is important to avoid the morbidity and mortality of gangrenous cholecystitis and biliary peritonitis in a frail old population of patients.