“…Prior authors have proposed a mechanism whereby prolonged transmural gallbladder wall inflammation causes mucosal ischemia leading to the observed intraluminal hemorrhage [4] . Other less common causes, some of which may precede acute cholecystitis and not ascribe to the aforementioned pathophysiology, have been reported including cystic artery pseudoaneurysm rupture [11] , hemorrhage associated with inherited and acquired coagulation disorders [12] , blunt trauma [6] , iatrogenic injury [13] , malignancy related [14] , and idiopathic [6] . Here we describe a case of HC in a patient with COVID-19 not on therapeutic anticoagulation.…”