Korean J Hepatobiliary Pancreat Surg.  2012 Aug;16(3):120-122. 10.14701/kjhbps.2012.16.3.120.

Hemorrhagic cholecystitis: report of a case

• Kwon JN

• KMID: 2243219
• DOI: http://doi.org/10.14701/kjhbps.2012.16.3.120

Abstract

Hemorrhagic cholecystitis is an uncommon cause of abdominal pain that can be fatal. We report a case of hemorrhagic cholecystitis in a 75-year-old male taking an anticoagulant. The patient was brought to the hospital with uncontrolled right upper quadrant abdominal pain. On computed tomography, mild gallbladder wall thickening and high density with gallstones in the gallbladder suggested acute calculous cholecystitis or hemorrhagic cholecystitis. An urgent laparoscopic cholecystectomy was performed that revealed a gallbladder filled with large blood clots and two black stones. Patients who develop hemorrhagic complications were often receiving anticoagulation therapy or had pathologic coagulopathy. An early diagnosis of this potentially fatal condition is important to facilitate urgent surgical treatment.

Keyword

Hemorrhagic; Cholecystitis; Anticoagulation; Urgent; Laparoscopic cholecystectomy

MeSH Terms

Abdominal Pain
Aged
Cholecystectomy, Laparoscopic
Cholecystitis
Early Diagnosis
Gallbladder
Gallstones
Humans
Male