A Case of Hemorrhagic Cholecystitis due to Dieulafoy's Lesion of the Gallbladder

Abstract

Dieulafoy's lesion of gallbladder is extremely rare, and little is known of its etiology. A 59-year-old male was admitted with fever, epigastralgia, and jaundice. Laboratory data showed severe inflammation, mild liver dysfunction, and obstructive jaundice. Ultrasonography showed the gallbladder tightly filled with debris, but there were no gallstones. Percutaneous transhepatic gallbladder drainage revealed intracholecystic hemorrhage. On the following day, laparoscopic cholecystectomy was performed. The gallbladder was not filled with stones or bile, but with clots. A minute ulceration of the mucosa in the body of the gallbladder was identified. Pathology showed the presence of Dieulafoy's lesion in the gallbladder.