Acute hemorrhagic cholecystitis with gallbladder rupture and massive intra-abdominal hemorrhage
| Autor: | Pickell, Zachary, Raghavendran, Krishnan, Westerhoff, Maria, Williams, Aaron M. |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
lcsh:Internal medicine medicine.medical_treatment Perforation (oil well) Cholecystitis Acute lcsh:Medicine Intra-Abdominal Hemorrhage Tissue plasminogen activator Pathology and Forensic Medicine Hematoma Melena Paracolic gutters Internal Medicine medicine Clinical Case Report lcsh:RC31-1245 business.industry Gallbladder lcsh:R medicine.disease Surgery Biliary Tract Surgical Procedures medicine.anatomical_structure General Surgery Cholecystectomy medicine.symptom business Gastrointestinal Hemorrhage medicine.drug |
| Zdroj: | Autopsy and Case Reports, Vol 11 (2021) Autopsy & Case Reports |
| ISSN: | 2236-1960 |
| Popis: | Acute hemorrhagic cholecystitis is a rare, life-threatening condition that can be further complicated by perforation of the gallbladder. We describe a patient with clinical and radiologic findings of acute cholecystitis with a gallbladder rupture and massive intra-abdominal bleeding. Our patient is a 67-year-old male who presented with an ischemic stroke and was treated with early tissue plasminogen activator. His hospital course was complicated by a fall requiring posterior spinal fusion surgery. He recovered well, but several days later developed subxiphoid and right upper quadrant pain and an episode of hemobilia and melena. A computed tomography scan revealed an inflamed, distended gallbladder with indistinct margins and a large hematoma in the gallbladder fossa extending to the right paracolic gutter. The patient also developed hemodynamic instability concerning for hemorrhagic shock. He underwent an emergent laparoscopic converted to open subtotal fenestrating cholecystectomy with abdominal washout for management of his acute hemorrhagic cholecystitis with massive intra-abdominal hemorrhage. Prompt recognition of this lethal condition in high-risk patients is crucial for optimizing patient care. |
| Databáze: | OpenAIRE |
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