The removal of acalculous and not acutely inflamed gall-bladder in patients with typical biliary painremains a questionable procedure. This study was conducted to present our experience. In the period 1982-90, 1089 cases of calculous and acalculous gallbladder disease were treated in our clinic. In this period, 27patients were subjected to cholecystectomy because of an acalculous, non inflamed gallbladder which waselongated lying in an abnormal position with a long cystic duct. The mean duration ofsymptoms supportiveof cholelithiasis, was 5 years. Oral cholecystogram and ultrasonography led to the diagnosis and othercauses ofchronic abdominal pain were excluded. There were 13 lumbar, 9 pelvic and 5 iliac gallbladders, withpoor function in 20 of them. During cholecystectomy, the organ was invested by peritoneum and suspendedin 7 cases from a mesentery. On pathological examination mild chronic inflammation was reported in19 cases and minimal changes in 8. The minimum follow up was one year and the maximum 9 years. Completerelief of symptoms was achieved in all the cases. In conclusion, cholecystectomy should be offered in thesesymptomatic "hanging" gallbladders.
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