Endoscopic Ultrasound-Guided Cholecystoenterostomy for Acute Hemorrhagic Cholecystitis Drainage

Abstract

Hemorrhagic cholecystitis is a rare entity with few cases reported in the literature. We report a case of a 42-year-old man with cirrhosis who presented to the hospital with abdominal pain in the right upper quadrant radiating to the back. Computed tomography scan showed findings consistent with acute cholecystitis. Owing to decompensated cirrhosis, he was not a good candidate for cholecystectomy. Endoscopic ultrasound-guided cholecystoenterostomy was performed that immediately yielded a large amount of old blood with clots along with some bile consistent with acute hemorrhagic cholecystitis. After the drainage, he had an uneventful hospitalization.

Hemorrhagic Cholecystitis in a Patient Under Anticoagulant and Antiplatelet Therapy: A Case Report

“…Hemorrhagic cholecystitis is a rare complication of acute cholecystitis, and it is defined as hemorrhage inside the gallbladder [ 1 ]. This condition has been associated with uremia, renal disease, atrial fibrillation, anticoagulant or antiplatelet therapy, chronic obstructive pulmonary disease, chronic use of corticosteroids, cirrhosis, and blunt trauma [ 2 , 3 ]. Hemorrhagic cholecystitis is presented at an average age of 65 years, and 70% of cases reported were men [ 3 ].…”