Massive hemobilia and acalculous cholecystites due to benign gallbaldder polyp

Cappell, Mitchell S.; Marks, Michael; Kirschenbaum, Hyman

doi:10.1007/bf01295736

Cited by 37 publications

(15 citation statements)

References 60 publications

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“…It is a frequent surgical opinion that patients with PLGs should undergo surgery at the time of diagnosis, because a polyp can loosen and may obstruct or prolapse into the cystic duct, producing an acute cholecystitis or even jaundice from obstruction of the common bile duct. However, our results and those of others [17][18][19][20] do not support this general opinion and actually show the contrary. We cannot, however, exclude a remote possibility of such complications.…”

Section: Discussioncontrasting

confidence: 57%

Late Follow-Up of Polypoid Lesions of the Gallbladder Smaller Than 10 mm

Csendes¹,

Burgos²,

Csendes³

et al. 2001

Annals of Surgery

101

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ObjectiveTo determine the variation in number, size, and symptoms in patients with polypoid lesions of the gallbladder. Summary Background DataA polypoid lesion is any elevated lesion of the gallbladder mucosa. Several studies have been reported in patients undergoing cholecystectomy, but little information exits regarding the natural history of these lesions in nonoperated patients. MethodsA total of 111 patients with ultrasound diagnosis of polypoid lesions smaller than 10 mm were followed up by clinical evaluation and ultrasonography. Twenty-seven patients underwent cholecystectomy. ResultsThere was no difference in terms of gender. Nearly 80% of the lesions were smaller than 5 mm; they were single in 74%. In nonoperated patients, 50% remained of similar size at the late follow-up, 26.5% increased in number and size, and 23.5% shrank or disappeared. Among the operated patients, 70% corresponded to cholesterol polyps. None of the patients developed symptoms of biliary disease or gallstones or adenocarcinoma. ConclusionsUltrasound is useful in the follow-up of patients with polypoid lesions of the gallbladder. Lesions smaller than 10 mm do not progress to malignancy or to development of stones, and none produced symptoms or complications of biliary disease.

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Section: Discussioncontrasting

confidence: 57%

Late Follow-Up of Polypoid Lesions of the Gallbladder Smaller Than 10 mm

Csendes¹,

Burgos²,

Csendes³

et al. 2001

Annals of Surgery

101

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“…Atraumatic intra-gallbladder hemorrhage, termed "hemocholecyst", was described in association with gallstones [13], vascular disorders [14], malignancy [11,15], and polyps [16].…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic Acute Cholecystitis Caused by Intra-Gallbladder Hemorrhage in a Patient with Anticoagulant Therapy

Kirshtein

Lantsberg

Duchno

et al. 2002

European Journal of Trauma

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Background: With aging of the population, the incidence of trauma victims who are on anticoagulant or antiplatelet treatment is increasing. These patients are at risk of serious hemorrhage even after relatively minor trauma. They can also show bleeding in unusual locations with unusual consequences. Case Study: We report a previously undocumented bleeding complication in an anticoagulated patient, namely a delayed presentation of acute cholecystitis, where cystic duct obstruction was due to bleeding into the gallbladder after blunt abdominal trauma.

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“…However, hemorrhagic cholecystitis is very rare, except in cases of direct traumatic injury of the gallbladder [11] or gallbladder polyps [2]. Brady and Welch [1] have reported that cholecystitis may result from cystic duct obstruction due to blood clots.…”

Section: Discussionmentioning

confidence: 99%

“…Grossly, the resected specimen revealed wall thickening with a congested mucosa and three blood clots; histologically, these changes were consistent with a diagnosis of chronic cholecystitis. The clinical message of this paper is that patients should be observed for this usual complication of hemobilia after liver injury.Hemobilia following liver injury is relatively rare [1,2], and the case reported here appears to be the only known instance that resulted in cholecystitis. This reCorrespondence to: K. Hanazaki port describes the onset of cholecystitis following the development of hemobilia and of pseudoaneurysm formation of the hepatic artery in a patient with a history of abdominal trauma.…”

mentioning

confidence: 99%

“…Hemobilia following liver injury is relatively rare [1,2], and the case reported here appears to be the only known instance that resulted in cholecystitis. This reCorrespondence to: K. Hanazaki port describes the onset of cholecystitis following the development of hemobilia and of pseudoaneurysm formation of the hepatic artery in a patient with a history of abdominal trauma.…”

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confidence: 99%

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Chronic cholecystitis following hemobilia due to traumatic intrahepatic injury

et al. 1995

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We report a patient who presented with colicky abdominal pain, hematemesis, and melena following a blunt abdominal injury sustained in an automobile accident. Serologic tests suggested liver dysfunction and computed tomography (CT) revealed dilatation of the intrahepatic bile duct. Duodenoscopy demonstrated hemobilia originating from the duodenal papilla of Vater. Angiography revealed a pseudoaneurysm of the hepatic artery and angiographic embolization sucessfully stopped the hemorrhaging. However, even following the angiographic embolization, the patient remained symptomatic and repeat CT demonstrated thickening of the gallbladder wall and a lesion resembling a blood clot. We strongly suspected cholecystitis and performed a laparoscopic cholecystectomy. Grossly, the resected specimen revealed wall thickening with a congested mucosa and three blood clots; histologically, these changes were consistent with a diagnosis of chronic cholecystitis. The clinical message of this paper is that patients should be observed for this usual complication of hemobilia after liver injury.

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Massive hemobilia and acalculous cholecystites due to benign gallbaldder polyp

Cited by 37 publications

References 60 publications

Late Follow-Up of Polypoid Lesions of the Gallbladder Smaller Than 10 mm

Late Follow-Up of Polypoid Lesions of the Gallbladder Smaller Than 10 mm

Posttraumatic Acute Cholecystitis Caused by Intra-Gallbladder Hemorrhage in a Patient with Anticoagulant Therapy

Chronic cholecystitis following hemobilia due to traumatic intrahepatic injury

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