Acute hemorrhagic cholecystitis with gallbladder rupture and massive intra-abdominal hemorrhage.
Biliary Tract Surgical Procedures
Cholecystitis, Acute
Gastrointestinal Hemorrhage
General Surgery
Journal
Autopsy & case reports
ISSN: 2236-1960
Titre abrégé: Autops Case Rep
Pays: Brazil
ID NLM: 101640070
Informations de publication
Date de publication:
28 Jan 2021
28 Jan 2021
Historique:
entrez:
10
5
2021
pubmed:
11
5
2021
medline:
11
5
2021
Statut:
epublish
Résumé
Acute hemorrhagic cholecystitis is a rare, life-threatening condition that can be further complicated by perforation of the gallbladder. We describe a patient with clinical and radiologic findings of acute cholecystitis with a gallbladder rupture and massive intra-abdominal bleeding. Our patient is a 67-year-old male who presented with an ischemic stroke and was treated with early tissue plasminogen activator. His hospital course was complicated by a fall requiring posterior spinal fusion surgery. He recovered well, but several days later developed subxiphoid and right upper quadrant pain and an episode of hemobilia and melena. A computed tomography scan revealed an inflamed, distended gallbladder with indistinct margins and a large hematoma in the gallbladder fossa extending to the right paracolic gutter. The patient also developed hemodynamic instability concerning for hemorrhagic shock. He underwent an emergent laparoscopic converted to open subtotal fenestrating cholecystectomy with abdominal washout for management of his acute hemorrhagic cholecystitis with massive intra-abdominal hemorrhage. Prompt recognition of this lethal condition in high-risk patients is crucial for optimizing patient care.
Identifiants
pubmed: 33968819
doi: 10.4322/acr.2020.232
pii: acrep079920
pmc: PMC8020585
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e2020232Informations de copyright
Copyright: © 2020 The Authors.
Déclaration de conflit d'intérêts
Conflict of interest: none
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