COVID-19 associated spontaneous hemorrhagic cholecystitis

Cochran, Rory L.; Coe, Taylor M.; Nakrour, Nour; Goiffon, R

doi:10.1016/j.radcr.2022.10.063

Cited by 2 publications

(3 citation statements)

References 17 publications

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“…This patient was young and had no history of bleeding diathesis or trauma, which have both been identified as risk factors for haemorrhagic cholecystitis 5 30. Other rare causes of haemorrhagic cholecystitis include cystic artery pseudoaneurysm rupture, malignancy and iatrogenic injury 30…”

Section: Discussionmentioning

confidence: 92%

“…Haemorrhagic cholecystitis can be difficult to diagnose due to its similar presentation to acute calculous cholecystitis,5 and as it can often be fatal, early diagnosis is vital. On review of the literature, the common pathophysiological process suggested is inflammation causing necrosis of the gallbladder lumen and subsequent intraluminal haemorrhage 3 4 30. This patient was young and had no history of bleeding diathesis or trauma, which have both been identified as risk factors for haemorrhagic cholecystitis 5 30.…”

Section: Discussionmentioning

confidence: 93%

“…On review of the literature, the common pathophysiological process suggested is inflammation causing necrosis of the gallbladder lumen and subsequent intraluminal haemorrhage 3 4 30. This patient was young and had no history of bleeding diathesis or trauma, which have both been identified as risk factors for haemorrhagic cholecystitis 5 30. Other rare causes of haemorrhagic cholecystitis include cystic artery pseudoaneurysm rupture, malignancy and iatrogenic injury 30…”

Section: Discussionmentioning

confidence: 94%

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Haemorrhagic cholecystitis in a young patient, complicated by gallbladder perforation and choledocholithiasis

Harrison,

Hepworth-Lloyd,

Briggs

et al. 2023

BMJ Case Rep

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Haemorrhagic cholecystitis is a rare condition associated with a high risk of morbidity and mortality. Its pathophysiology is thought to be due to gallbladder wall erosion and infarction secondary to inflammation, which subsequently leads to haemorrhage into the gallbladder lumen or the peritoneal cavity. There is no current official guidance on optimal management of this condition. We describe a case of a female patient in her 40s who presented with right upper quadrant pain, followed by haematemesis. After CT scan, a diagnosis of haemorrhagic cholecystitis was made and initially managed conservatively. In this case, haemorrhagic cholecystitis was later complicated by gallbladder perforation and choledocholithiasis. Definitive management was with emergency open cholecystectomy. We believe this to be the first reported case of haemorrhagic cholecystitis complicated by gallbladder perforation and choledocholithiasis. This report highlights the need for early definitive management of haemorrhagic cholecystitis to prevent subsequent complications.

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Section: Discussionmentioning

confidence: 92%