Hemorrhagic Cholecystitis

López, Víctor; Alconchel, Felipe

doi:10.1148/radiol.2018181161

Cited by 14 publications

(19 citation statements)

References 3 publications

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“…The NSAIDs caused the inhibition of platelet function, which might increase the bleeding risk of the gallbladder lumen when erosive injuries by gallbladder stone were presented. Severe hemorrhagic cholecystitis could also induce hypovolemic shock, which is associated with high mortality rate and requires emergent resuscitation [24]. Fortunately, the patient in current case did not suffer any acute lifethreatening bleeding.…”

Section: Discussionmentioning

confidence: 73%

Hemorrhagic cholecystitis with rare imaging presentation: a case report and a lesson learned from neglected medication history of NSAIDs

Zhang

Huang

et al. 2020

BMC Gastroenterol

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Background: Gallbladder carcinogenesis, frequently occurredin chronic cholecystitis patients, requires radical resection. We herein describe a hemorrhagic cholecystitis case that failed to be differentiated from gallbladder cancer preoperatively owing to the neglected medication history of long term oral nonsteroidal anti-inflammatory drugs (NSIADs) intake. Case presentation: A 57-year-old Chinese female was admitted for right upper quadrant pain with the initial diagnosis of cholecystitis. Radiological studies were unable to exclude the differential diagnosis of suspected gallbladder cancer. During the scheduled radical resection of the suspected lesions, the gross dissection showed an interesting presentation of hemorrhagic cholecystitis, without any pathological evidence of malignancies. Additional postoperative investigation revealed a neglected medication history of long-term NSAIDs use. Conclusions: This case suggests the importance of preoperative review of medication history and patient education on prescription drug abuse.

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Section: Discussionmentioning

confidence: 73%

Hemorrhagic cholecystitis with rare imaging presentation: a case report and a lesson learned from neglected medication history of NSAIDs

Zhang

Huang

et al. 2020

BMC Gastroenterol

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“…CBD obstruction may occur due to a blood clot during hemorrhagic cholecystitis [8] . Severe hemorrhagic cholecystitis could also induce hypovolemic shock, which is associated with high mortality rate and requires emergent resuscitation [9] . Subsequently, successful transcatheter embolization was achieved with particles and coils since the patient was unfit for surgery [10] .…”

Section: Discussionmentioning

confidence: 99%

A 51-year-old female presenting with shock due to hemorrhagic cholecystitis

Yam

Sim

Tam

et al. 2020

Radiology Case Reports

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Hemorrhagic cholecystitis is a rare cause of abdominal pain that can have dire consequences. We report a case of hemorrhagic cholecystitis in a 51-year-old female presenting as shock and abdominal pain. The patient was transported to the emergency room. Ultrasound scan revealed hemoperitoneum and cholecystitis features. On computed tomography, mild gallbladder wall thickening and high density materials in the gallbladder suggested acute calculous cholecystitis, bleeding tumor, or hemorrhagic cholecystitis. An urgent cystic arterial embolization and percutaneous transhepatic drainage were done. After initial stablization, laparoscopic cholecystectomy was performed that revealed a necrotic gallbladder filled with large blood clots. It was important for timely management by having an early recognition of this potentially fatal condition.

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“…34 In some cases, the inflammation may involve the wall of the cystic artery, 35 resulting in damage to the adventitia with localized weakness in the vessel wall 33 and pseudoaneurysm formation. 36 Fujimoto et al 35 cystic artery pseudoaneurysms secondary to cholecystitis. The average age of presentation was 68 years and the mean pseudoaneurysm diameter was 19 mm.…”

Section: Gallbladder Torsionmentioning

confidence: 99%

“…Gallbladder hemorrhage and hemorrhagic cholecystitis may present with right upper quadrant pain, which may be indistinguishable from the typical presentation of acute cholecystitis. 36 On US, gallbladder wall thickening and intraluminal membranes may be seen. 34 Clots within the gallbladder appears as non-shadowing echogenic material and may appear masslike 36 (Figure 6a).…”

Section: Gallbladder Torsionmentioning

confidence: 99%

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Vascular disorders of the gallbladder and bile ducts: Imaging findings

Hui

Loo

2021

J Hepato Biliary Pancreat

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Multimodality imaging plays a major role in the diagnosis of cholecystic and choledochal vascular disorders. The presentation of these conditions ranges from acute and potentially fatal to asymptomatic and incidental. Gallbladder hemorrhage, ischemia, and hemobilia may complicate acute cholecystitis and may also occur in other clinical settings. The radiological appearances of gangrenous cholecystitis, gallbladder hemorrhage, hemobilia, vascular malformations, and gallbladder torsion will be presented. The vascular anatomy of the bile ducts and gallbladder will be reviewed with particular reference to the communication of the choledochal and cholecystic venous drainage with the portal venous system. The imaging features of the unique vascular conditions arising as a result of this connection to the portal system will be illustrated (Table 1). | ARTERIAL SUPPLY AND VENOUS DRAINAGE OF THE GALLBLADDERThe gallbladder is supplied by both small vessels from the hepatic bed and the cystic artery, which usually arises from the right hepatic artery. The cystic artery runs toward the gallbladder in Calot's triangle, the boundaries of which are formed by the liver, common hepatic duct, and cystic duct (Figure 1a). The cystic artery passes posterior to the common hepatic duct to reach the neck of the gallbladder. 1 Variations in the artery origin are common and it may arise from the common hepatic artery (26%), from the left hepatic artery (5%), or gastroduodenal artery (2%). Rarely, it may arise from the superior pancreaticoduodenal, right gastric, celiac trunk, or superior mesenteric arteries. 1 It may also course anterior to the cystic duct and bile duct. Thrombosis of the

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Hemorrhagic Cholecystitis

Cited by 14 publications

References 3 publications

Hemorrhagic cholecystitis with rare imaging presentation: a case report and a lesson learned from neglected medication history of NSAIDs

Hemorrhagic cholecystitis with rare imaging presentation: a case report and a lesson learned from neglected medication history of NSAIDs

A 51-year-old female presenting with shock due to hemorrhagic cholecystitis

Vascular disorders of the gallbladder and bile ducts: Imaging findings

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