Acute cholecystitis secondary to hemobilia after percutaneous liver biopsy.
| Autor: | Coelho JC; Department of Surgery, Federal University of Parana, Curitiba, Brazil., Bonin EA, da Costa MA, da Cunha AG, Sartor MA |
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| Jazyk: | angličtina |
| Zdroj: | Digestive surgery [Dig Surg] 2001; Vol. 18 (3), pp. 227-9. |
| DOI: | 10.1159/000050138 |
| Abstrakt: | A case of obstructive acute cholecystitis following percutaneous liver biopsy is presented. The patient complained of intense and continuous pain in the right upper quadrant of the abdomen 2 days after the liver biopsy. On abdominal examination, Murphy's sign was present. Hemogram revealed a fall in the hematocrit level from 44 to 38 because of hemobilia. Ultrasonography showed a dilated gallbladder with moderate thickness of the wall and a blood clot of 20 x 9 mm inside. The patient was subjected to laparoscopic cholecystectomy. The acute inflammation of the gallbladder was secondary to obstruction of the cystic duct by the blood clot. The postoperative period was uneventful. (Copyright 2001 S. Karger AG, Basel) |
| Databáze: | MEDLINE |
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