Perforated Hemorrhagic Cholecystitis

Espino, Pablo Calvo; Cabezas, María Dolores Chaparro; Cubedo, Elena Jiménez; Poza, José Luis Lucena de la; Turrión, Víctor Sánchez

doi:10.1016/j.cireng.2015.03.011

Cited by 3 publications

(1 citation statement)

References 7 publications

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“…Hemorrhagic cholecystitis is a rare complication of acute cholecystitis, and it is defined as hemorrhage inside the gallbladder [ 1 ]. This condition has been associated with uremia, renal disease, atrial fibrillation, anticoagulant or antiplatelet therapy, chronic obstructive pulmonary disease, chronic use of corticosteroids, cirrhosis, and blunt trauma [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

Hemorrhagic Cholecystitis in a Patient Under Anticoagulant and Antiplatelet Therapy: A Case Report

Ichikawa-Escamilla,

Solís-Ibarra,

Lizárraga-López

et al. 2024

Cureus

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Hemorrhagic cholecystitis is an uncommon presentation of acute cholecystitis. Due to its etiology and unspecific clinical data, it is an entity that represents a diagnostic challenge. We present a case of a 70-year-old male with diabetes type 2, hypertension, and chronic kidney disease with hemodialysis, who attended the emergency department with sudden-onset abdominal pain in the epigastrium. The patient presented no additional symptoms, a normal electrocardiogram, but due to the characteristics of the pain and elevated troponin I, emergency medicine specialists considered an acute coronary syndrome and initiated antiplatelet and anticoagulant therapy. Due to persistent abdominal pain, a decrease in hemoglobin, and the onset of arterial hypotension, a computed tomography (CT) scan was performed, which revealed perforation of the gallbladder, apparent hemorrhagic cholecystitis, and hemoperitoneum. The patient underwent emergent surgery, where CT findings were confirmed. In our case, the suspicion of hemorrhagic cholecystitis arose until the clinical case was advanced, after receiving anticoagulant and antiplatelet therapy, and it was confirmed during surgery and with histopathology. This concludes that hemorrhagic cholecystitis is a rare disease and difficult to diagnose. Therefore, studies should focus on clinical presentation and risk factors (e.g., trauma, malignancy, renal failure, cirrhosis, and anticoagulation therapy) to promote early diagnosis and avoid complications.

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Section: Introductionmentioning

confidence: 99%

Hemorrhagic Cholecystitis in a Patient Under Anticoagulant and Antiplatelet Therapy: A Case Report

Ichikawa-Escamilla,

Solís-Ibarra,

Lizárraga-López

et al. 2024

Cureus

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

et al. 2021

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Gallbladder hemorrhage–An uncommon surgical emergency: A case report

Valenti¹,

Cavallaro²,

Vita³

et al. 2022

WJCC

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BACKGROUND Gallbladder hemorrhage is a life-threatening disorder. Trauma (accidental or iatrogenic such as a percutaneous biopsy or cholecystectomy surgery), cholelithiasis, biliary tract parasitosis, vasculitis, vascular malformations, autoimmune and neoplastic diseases and coagulopathies have been described as causes of hemorrhage within the lumen of the gallbladder. The use of non-steroidal anti-inflammatory drugs and anticoagulants may represent a risk factor. CASE SUMMARY We report the case of a 76-year-old male patient. An urgent contrast computed tomography scan demonstrated relevant distension of the gallbladder filled with hyperdense non-homogeneous content. The gallbladder walls were of regular thickness. Near the anterior wall a focus of suspected active bleeding was observed. Due to the progressive decrease in hemoglobin despite three blood transfusions, this was an indication for urgent surgery. CONCLUSION Early diagnosis of this potentially fatal pathology is essential in order to plan a strategy and eventually proceed with urgent surgical treatment.

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Perforated Hemorrhagic Cholecystitis

Cited by 3 publications

References 7 publications

Hemorrhagic Cholecystitis in a Patient Under Anticoagulant and Antiplatelet Therapy: A Case Report

Hemorrhagic Cholecystitis in a Patient Under Anticoagulant and Antiplatelet Therapy: A Case Report

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

Gallbladder hemorrhage–An uncommon surgical emergency: A case report

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