Dieulafoy's disease as a possible cause of gallbladder hemorrhage

A galling disease? Dieulafoy’s lesion of the gallbladder

“…Review of the literature reveals subsequent reports of Dieulafoy’s disease of the gallbladder [ [6] , [7] , [8] , [9] , [10] ]. These reports, along with Troung et al’s case and the current case are summarized in Table 2 .…”

“…Four of the patients had pain focused in the epigastrium and right upper quadrant. One patient had a rigid abdomen on presentation [ 6 ]. Some blood test results were available for 5 of the patients ( Table 3 ).…”

“…Gallbladder DLs have rarely been reported in literature with only five previously published cases [ [5] , [6] , [7] , [8] , [9] , [10] ]. This report details another case of gallbladder DL in line with the SCARE criteria [ 11 ] and reviews the existing literature on the clinical presentation, investigations and treatment options for gallbladder DL.…”

Dieulafoy lesion of the gallbladder presenting with bleeding and a pseudo-mirizzi syndrome: A case report and review of the literature

“…Our case constitutes the third reported diagnosis of a gallbladder dieulafoy lesion in the English literature. It is characterized by an abnormally large calibre, tortuous arteriole in the submucosa of the gastrointestinal tract with a base of fibrinoid necrosis that bleeds through mucosal erosion with an absence of inflammation at the boundaries of the erosion [1] , [2] . According to Reilly and Al-Kawas, there is a persistent calibre vessel in the submucosa that is exposed through pressure erosion [3] .…”

“…Percutaneous transhepatic gallbladder drainage yielded large volume fresh blood, with urgent laparoscopic cholecystectomy following. Histopathology revealed mild chronic cholecystitis with a dieulafoy lesion [1] .…”