Hemorrhagic cholecystitis afflicted with glanzmann thrombasthenia patient.

J Family Med Prim Care

Department of Basic Science College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.

Published: November 2024

AI Article Synopsis

  • Hemorrhagic cholecystitis is a rare but serious condition that can occur if the gallbladder bursts, necessitating urgent medical intervention.
  • A 27-year-old man with Glanzmann's thrombasthenia visited the emergency department multiple times, initially presenting with ear and later chest pain, before being misdiagnosed and sent home.
  • Upon returning with abdominal symptoms, an ultrasound confirmed cholecystitis, leading to an emergency surgery that uncovered the hemorrhagic cholecystitis diagnosis.

Article Abstract

Hemorrhagic cholecystitis is a rare and potentially life-threatening condition that requires immediate medical attention. If the gallbladder perforates, it can lead to even more severe complications. We present the case of a 27-year-old man with Glanzmann's thrombasthenia, a rare platelets disorder, who visited the emergency department twice before being diagnosed with this condition. Initially, he complained of ear pain, and later, chest pain. Despite a normal ECG and cardiac markers, he was discharged with non-steroidal anti-inflammatory drugs (NSAIDs) for musculoskeletal pain. However, when he returned with abdominal pain, nausea, and vomiting, an ultrasound revealed signs of cholecystitis. An emergency laparoscopic cholecystectomy was performed, which revealed hemorrhagic cholecystitis.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11668374PMC
http://dx.doi.org/10.4103/jfmpc.jfmpc_858_24DOI Listing

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