Fatal Abdominal Hemorrhage Associated with Gallbladder Perforation Due to Large Gallstones

Soto, Luis R.; Levine, Harold; Celinski, Scott; Guileyardo, Joseph M.

doi:10.1080/08998280.2014.11929086

Cited by 4 publications

(5 citation statements)

References 9 publications

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“…El primer estudio de imagen en pacientes con dolor en hipocondrio derecho es el ultrasonido el cual es totalmente operador dependiente 5 y en el caso de CH con perforación, para su diagnóstico debe de tenerse la sospecha, de no ser así, se hace diagnóstico de colecistitis aguda. Soto et al 6 describen datos ultrasonográficos que sugieren CH con perforación como son: los hallazgos de colecistitis aguda con signos indirectos de líquido libre complejo, hematoma de fosa de vesícula biliar y hemorragia intrahepática, los cuales no se encontraban en este paciente.…”

Section: Discussionunclassified

“…En algunos casos se puede agregar hemobilia, melena y/o hematemesis 5 . La perforación de la vesícula biliar con hemorragia tiene una mortalidad por arriba del 70% 6 .…”

Section: Introductionunclassified

“…Recibido el 1 de febrero de 2018 y aceptado para publicación el 3 de marzo de 2018. diagnóstico en pacientes con dolor en hipocondrio derecho, sin embargo, en el caso de colecistitis hemorrágica no hay ningún signo absolutamente patognomónico resultando muy engañoso 5,6 , por lo que la tomografía computarizada (TC) abdominal con contraste endovenoso juega un papel crucial en el diagnóstico rápido y preciso ya que puede mostrar el sitio de la perforación de la vesícula biliar y el hemoperitoneo, con una tasa de detección del 69,2% 7 .…”

Section: Introductionunclassified

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Colecistitis hemorrágica: reporte de caso y revisión de la literatura

et al. 2019

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Hemorrhagic cholecystitis: case report and literature review Introduction: Hemorrhagic cholecystitis is a rare complication of acute cholecystitis with a high mortality. Materials and Method: Patient with abdominal pain in right hypochondrium and jaundice. Laboratory analyses and hepatobiliary ultrasound suggested acute cholecystitis, however, general worsening during hospital stay was observed and a computed tomography was performed, revealing hemorrhagic cholecystitis and hemoperitoneum. Results: Urgent laparotomy which confirmed tomographic results, successfully solved with cholecystectomy. Discussion: Hemorrhagic cholecystitis diagnosis is difficult as symptoms at the beginning do not differ from acute cholecystitis, then, clinical suspicion and a correct image analysis is crucial for its detection. Conclusion: Although, perforated hemorrhagic cholecystitis with hemoperitoneum is a very rare entity with confused diagnosis, an abdominal computed tomography with intravenous contrast is very important in any patient with severe acute cholecystitis suspicion.

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Section: Discussionunclassified

“…En algunos casos se puede agregar hemobilia, melena y/o hematemesis 5 . La perforación de la vesícula biliar con hemorragia tiene una mortalidad por arriba del 70% 6 .…”

Section: Introductionunclassified

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Colecistitis hemorrágica: reporte de caso y revisión de la literatura

et al. 2019

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“…There are no pathognomonic signs for gallbladder perforation on CT. A ‘hole-sign’ finding on ultrasound has been described, but this is thought to be uncommon 8. If CT findings suggest cholecystitis associated with pericholecystic fluid collection, high-attenuation intraluminal density, gallbladder wall defect, streaky omentum, gallbladder fossa haematoma, intrahepatic haemorrhage or the presence of extraluminal gallstones, all of these should raise suspicion of gallbladder perforation with possible haemorrhage 6 9…”

Section: Discussionmentioning

confidence: 99%

Haemoperitoneum secondary to intrahepatic gallbladder perforation

2015

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SUMMARYA 70-year-old man presented to the accident and emergency department with a 1-day history of right upper quadrant pain and nausea. Examination revealed mild tenderness in the right upper quadrant but no evidence of peritonism or haemodynamic instability. The patient was admitted to the general surgical ward with a diagnosis of cholecystitis and remained stable overnight. In the morning, he developed acute severe pain in the upper abdomen. Examination found him to be tachycardic, tachypnoeic and to have peritonism in the upper abdomen. An urgent CT scan demonstrated cholecystitis but also a small amount of fluid in the pelvis, with Hounsfield units suggestive of blood. The patient proceeded to laparotomy and was found to have massive haemoperitoneum secondary to intrahepatic gallbladder perforation causing liver capsule tear. Cholecystectomy was performed and the liver packed until haemostasis was achieved. The patient made an uneventful recovery. BACKGROUND

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“…Gallbladder perforation is seen in approximately 2–15% of cases of cholecystitis and carries a mortality rate of up to 42% 6. Gallbladder perforation secondary to haemorrhagic cholecystitis is very rare; we identified only 19 cases in the literature 2 4 6–22…”

Section: Introductionmentioning

confidence: 98%

Haemorrhagic cholecystitis in a young patient, complicated by gallbladder perforation and choledocholithiasis

Harrison,

Hepworth-Lloyd,

Briggs

et al. 2023

BMJ Case Rep

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Haemorrhagic cholecystitis is a rare condition associated with a high risk of morbidity and mortality. Its pathophysiology is thought to be due to gallbladder wall erosion and infarction secondary to inflammation, which subsequently leads to haemorrhage into the gallbladder lumen or the peritoneal cavity. There is no current official guidance on optimal management of this condition. We describe a case of a female patient in her 40s who presented with right upper quadrant pain, followed by haematemesis. After CT scan, a diagnosis of haemorrhagic cholecystitis was made and initially managed conservatively. In this case, haemorrhagic cholecystitis was later complicated by gallbladder perforation and choledocholithiasis. Definitive management was with emergency open cholecystectomy. We believe this to be the first reported case of haemorrhagic cholecystitis complicated by gallbladder perforation and choledocholithiasis. This report highlights the need for early definitive management of haemorrhagic cholecystitis to prevent subsequent complications.

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Fatal Abdominal Hemorrhage Associated with Gallbladder Perforation Due to Large Gallstones

Cited by 4 publications

References 9 publications

Colecistitis hemorrágica: reporte de caso y revisión de la literatura

Colecistitis hemorrágica: reporte de caso y revisión de la literatura

Haemoperitoneum secondary to intrahepatic gallbladder perforation

Haemorrhagic cholecystitis in a young patient, complicated by gallbladder perforation and choledocholithiasis

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