Hemocholecyst is defined as a hemorrhage into the gallbladder. It is a rare complication of anticoagulant therapies which can progress to spontaneous rupture of the gallbladder with hemorrhagic shock. We report the case of a 75-year old hypertensive, dyslipidemic man with hypertensive heart disease initially hospitalized for left hemiplegia. The patient received antiplatelet and anticoagulant therapy with low molecular weight heparin (LMWH) as prevention strategy. After 5 days of treatment the patient developed hemocholecyst and hemoperitoneum, confirmed by angio-abdominal computerized tomography scan in emergency assessment. The patient underwent cholecystectomy, hemostasis of the gallbladder fossa and evacuation of the hemoperitoneum.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6859024 | PMC |
| http://dx.doi.org/10.11604/pamj.2019.34.45.18682 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Hemocholecyst caused by accidental injury associated with radiofrequency ablation for hepatocellular carcinoma: A case report.
World J Clin Cases
August 2023
Department of Hepatology, The Third Hospital of Zhenjiang Affiliated Jiangsu University, Zhenjiang 212003, Jiangsu Province, China.
Background: Radiofrequency ablation (RFA) is an effective and safe treatment for hepatocellular carcinoma that features a lower incidence of serious complications than surgical resection. Hemocholecyst caused by RFA is a rare complication of secondary damage to the intrahepatic bile duct that results in hemobilia.
Case Summary: Here we report on a case of a hemocholecyst caused by accidental injury during RFA that induced hematemesis and melena.
Hemobilia and acute hemocolecyst as an unusual presentation of gallbladder cancer.
Cir Cir
November 2021
Servicio de Cirugía General y del Aparato Digestivo, Hospital Virgen de los Lirios, Alcoy, Alicante, España.
Gallbladder cancer that presents as acute cholecystitis associated with hemocholecyst and hemobilia is a rare entity. There are few cases reported in the literature. We present a case of gallbladder carcinoma diagnosed after emergency cholecystectomy, performed due to hemobilia and acute cholecystitis due to hemocholecyst.
View Article and Find Full Text PDFHemoperitoneum secondary to haemocholecyst due to acute cholecystitis.
Cir Cir
September 2021
Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Infanta Cristina, Parla, Madrid, España.
The haemocholecyst is a rare disease with a low index of suspiction, which is even lower if the patient does not present risk factors. Likewise, the course of this pathology with a haemoperitoneum without vesicular perforation is equally infrequent. We present an unusual case in which the diagnosis of the patient was carried out intraoperatively.
View Article and Find Full Text PDFPerforated Hemocholecyst: An Unintended Consequence of Endoscopic Variceal Ligation?
ACG Case Rep J
April 2020
Department of Gastroenterology, Walter Reed National Military Medical Center, Bethesda, MD.
Ectopic varices are a rare sequelae of portal hypertension and present in unique ways, which may not always prompt consideration. Furthermore, endoscopic interventions on venous collaterals in the setting of portal hypertension affect the portal system hemodynamics, which may further complicate the clinical picture. We report a man with decompensated hepatitis C cirrhosis who developed hemocholecyst complicated by perforation with hemoperitoneum soon after endoscopic variceal ligation of the esophageal varices in the setting of retrospectively discovered gallbladder varices.
View Article and Find Full Text PDFCarcinoma of the gallbladder presenting as haemorrhagic cholecystitis.
BMJ Case Rep
March 2020
Department of Surgery, Hospital de Santa Maria (Centro Hospitalar Universitário Lisboa Norte), Lisboa, Portugal.
Gallbladder carcinoma has several atypical presentations, but one of the rarest is intraluminal haemorrhage, which occurs in 1% of patients. We report a case of gallbladder cancer diagnosed by an emergency cholecystectomy, performed for acute cholecystitis caused by a hemocholecyst.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!