Hemorrhagic cholecystitis: ultrasound and CT imaging findings—a retrospective case review series

Calderón, Jessie Z Ramírez; Chamorro, E. Martínez; Sanz, L. Ibáñez; Merino, J.C. Albillos; Nacenta, S. Borruel

doi:10.1007/s10140-020-01879-x

Cited by 20 publications

(29 citation statements)

References 19 publications

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“…Hemorrhagic cholecystitis (HC) is the term used to describe the disorder of intraluminal hemorrhage into an inflamed gallbladder and is considered a rare complication of acute cholecystitis, most often associated with therapeutic anticoagulation [2] , [3] , [4] , [5] . Prior authors have proposed a mechanism whereby prolonged transmural gallbladder wall inflammation causes mucosal ischemia leading to the observed intraluminal hemorrhage [4] .…”

Section: Discussionmentioning

confidence: 99%

“…Hemorrhagic cholecystitis (HC) is a rare condition associated with considerable morbidity and mortality [1] . Most reports describe HC as a complication of acute calculous cholecystitis often in the setting of therapeutic anticoagulation [2] , [3] , [4] , [5] . The purported mechanism is prolonged transmural gallbladder wall inflammation causing mucosal ischemia leading to an increased risk of intraluminal hemorrhage [4] .…”

Section: Introductionmentioning

confidence: 99%

“…However, ultrasound findings of HC are non-specific. Given the widespread availability of computed tomography (CT) and its rapid image acquisition time, some authors argue CT represents the best modality for cases of suspected HC [5] . CT findings of HC include a distended gallbladder, wall thickening, and hyperattenuating bile with or without contrast extravasation on enhanced multiphase acquisitions [5] .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

COVID-19 associated spontaneous hemorrhagic cholecystitis

Cochran

Coe

Nakrour

et al. 2023

Radiology Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

COVID-19 associated spontaneous hemorrhagic cholecystitis

Cochran

Coe

Nakrour

et al. 2023

Radiology Case Reports

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“…In hemorrhagic cholecystitis, inflammation occurs along the gallbladder wall, leading to mucosal injury and bleeding into the gallbladder lumen [ 7 ]. It commonly occurs in patients using antiplatelet (aspirin, cilostazol), nonsteroidal anti-inflammatory, anticoagulant, and steroidal drugs [ 8 - 10 ]. The literature shows that both calculous and acalculous cholecystitis can lead to hemorrhagic cholecystitis [ 11 - 12 ].…”

Section: Discussionmentioning

confidence: 99%

Hemorrhagic Cholecystitis: A Rare Cause of Melena

Gobishangar

Shelton

Jenil³

2021

Cureus

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Hemorrhagic cholecystitis --a rare cause of hemobilia and melena --is an atypical presentation of calculous cholecystitis, associated with significant morbidity and mortality. A 75-year-old woman with multiple comorbidities, who was undergoing dual antiplatelet therapy, presented with symptoms of acute cholecystitis. Two days later, she developed melena and symptoms of obstructive jaundice. Following radiological evaluation, a diagnosis of hemorrhagic cholecystitis was made. The patient was managed conservatively with IV antibiotics and blood transfusion in the initial period (clopidogrel was withheld); an interval cholecystectomy was performed six weeks later. Hemorrhagic cholecystitis is a rare complication of acute cholecystitis, and its diagnosis is challenging as it mimics various other hepatopancreaticobiliary diseases. Management options include early surgery or conservative management at the initial stage, followed by interval cholecystectomy.

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“…Haemorrhagic cholecystitis (HC) is a rare complication of acute cholecystitis [ 1 ]. Direct clinical diagnosis is nearly impossible because HC can appear with symptoms such as uncomplicated cholecystitis or bile duct obstruction, acute abdominal pain with hemodynamic repercussion and even hematemesis [ 2 ]. A haemorrhage within the gallbladder lumen may occur for a variety of reasons, including trauma, percutaneous interventions, obstructive cholecystitis, bleeding disorders, biliary neoplasms, biliary parasites or bleeding disorders.…”

Section: Introductionmentioning

confidence: 99%

A case of haemorrhagic cholecystitis with no risk factors

Hotak

Joseph²

2021

Journal of Surgical Case Reports

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Haemorrhagic cholecystitis (HC) is a rare cause of cholecystitis that can be fatal if management is delayed. HC could present in the setting of trauma, malignancy and bleeding diathesis, such as renal failure, cirrhosis and anticoagulation. Its symptoms are easily confused with acute calculous or acalculous cholecystitis and might include haemobilia or hematemesis as blood drains from the gallbladder into the gastrointestinal tract. Imaging of HC can be misleading unless the possibility of this diagnosis is considered. In this report, we present an interesting case of HC in a patient with none of the above comorbidities and the patient who was not on anticoagulation neither anti platelets. The case includes relevant imaging and a review of the literature on this rare subject.

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Hemorrhagic cholecystitis: ultrasound and CT imaging findings—a retrospective case review series

Cited by 20 publications

References 19 publications

COVID-19 associated spontaneous hemorrhagic cholecystitis

COVID-19 associated spontaneous hemorrhagic cholecystitis

Hemorrhagic Cholecystitis: A Rare Cause of Melena

A case of haemorrhagic cholecystitis with no risk factors

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