Gallbladder hemorrhage–An uncommon surgical emergency:A case report  

作　　者：Maria Rosaria Valenti Andrea Cavallaro Maria Di Vita Antonio Zanghi Giovanni Longo Trischitta Alessandro Cappellani 

机构地区：[1]Department of Surgery,University of Catania Medical School,University of Catania,Catania 95123,Italy

出　　处：《World Journal of Clinical Cases》2022年第27期9734-9742,共9页世界临床病例杂志

摘　　要：BACKGROUND Gallbladder hemorrhage is a life-threatening disorder.Trauma(accidental or iatrogenic such as a percutaneous biopsy or cholecystectomy surgery),cholelithiasis,biliary tract parasitosis,vasculitis,vascular malformations,autoimmune and neoplastic diseases and coagulopathies have been described as causes of hemorrhage within the lumen of the gallbladder.The use of nonsteroidal anti-inflammatory drugs and anticoagulants may represent a risk factor.CASE SUMMARY We report the case of a 76-year-old male patient.An urgent contrast computed tomography scan demonstrated relevant distension of the gallbladder filled with hyperdense non-homogeneous content.The gallbladder walls were of regular thickness.Near the anterior wall a focus of suspected active bleeding was observed.Due to the progressive decrease in hemoglobin despite three blood transfusions,this was an indication for urgent surgery.CONCLUSION Early diagnosis of this potentially fatal pathology is essential in order to plan a strategy and eventually proceed with urgent surgical treatment.

关 键 词：GALLBLADDER HEMORRHAGE ANTICOAGULANTS CHOLECYSTECTOMY Surgery Case report 

分 类 号：R657.4[医药卫生—外科学]