A 51-year-old female presenting with shock due to hemorrhagic cholecystitis
ABSTRACT: Hemorrhagic cholecystitis is a rare cause of abdominal pain that can have dire consequences. We report a case of hemorrhagic cholecystitis in a 51-year-old female presenting as shock and abdominal pain. The patient was transported to the emergency room. Ultrasound scan revealed hemoperiton...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-12-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043320305070 |
| _version_ | 1819319392747388928 |
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| author | Max K.H. Yam, MBChB, FRCR Shiu Wah Sim, MBBS, FRCR, FHKCR, FHKAM Ka Ying Tam, MBBS, FRCR, FHKCR, FHKAM Yan Lin Li, MBBS, FRCR |
| author_facet | Max K.H. Yam, MBChB, FRCR Shiu Wah Sim, MBBS, FRCR, FHKCR, FHKAM Ka Ying Tam, MBBS, FRCR, FHKCR, FHKAM Yan Lin Li, MBBS, FRCR |
| author_sort | Max K.H. Yam, MBChB, FRCR |
| collection | DOAJ |
| description | ABSTRACT: Hemorrhagic cholecystitis is a rare cause of abdominal pain that can have dire consequences. We report a case of hemorrhagic cholecystitis in a 51-year-old female presenting as shock and abdominal pain. The patient was transported to the emergency room. Ultrasound scan revealed hemoperitoneum and cholecystitis features. On computed tomography, mild gallbladder wall thickening and high density materials in the gallbladder suggested acute calculous cholecystitis, bleeding tumor, or hemorrhagic cholecystitis. An urgent cystic arterial embolization and percutaneous transhepatic drainage were done. After initial stablization, laparoscopic cholecystectomy was performed that revealed a necrotic gallbladder filled with large blood clots. It was important for timely management by having an early recognition of this potentially fatal condition. |
| first_indexed | 2024-12-24T11:02:58Z |
| format | Article |
| id | doaj.art-bcd3c20a19bc4a2686808fa9d379c831 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-24T11:02:58Z |
| publishDate | 2020-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-bcd3c20a19bc4a2686808fa9d379c8312022-12-21T16:58:41ZengElsevierRadiology Case Reports1930-04332020-12-01151225472549A 51-year-old female presenting with shock due to hemorrhagic cholecystitisMax K.H. Yam, MBChB, FRCR0Shiu Wah Sim, MBBS, FRCR, FHKCR, FHKAM1Ka Ying Tam, MBBS, FRCR, FHKCR, FHKAM2Yan Lin Li, MBBS, FRCR3Diagnostic Radiology Department, North District Hospital, 9 Po Kin Road, Sheungshui, Hong Kong; Department of Radiology, Alice Ho Miu Ling Nethersole Hospital, 11 Cheun On Road, Taipo, Hong Kong; Corresponding author.Diagnostic Radiology Department, North District Hospital, 9 Po Kin Road, Sheungshui, Hong Kong; Department of Radiology, Alice Ho Miu Ling Nethersole Hospital, 11 Cheun On Road, Taipo, Hong KongDiagnostic Radiology Department, North District Hospital, 9 Po Kin Road, Sheungshui, Hong Kong; Department of Radiology, Alice Ho Miu Ling Nethersole Hospital, 11 Cheun On Road, Taipo, Hong KongDepart of Radiology, Queen Mary Hospital, Pok Fu Lam Road, Pok Fu Lam, Hong KongABSTRACT: Hemorrhagic cholecystitis is a rare cause of abdominal pain that can have dire consequences. We report a case of hemorrhagic cholecystitis in a 51-year-old female presenting as shock and abdominal pain. The patient was transported to the emergency room. Ultrasound scan revealed hemoperitoneum and cholecystitis features. On computed tomography, mild gallbladder wall thickening and high density materials in the gallbladder suggested acute calculous cholecystitis, bleeding tumor, or hemorrhagic cholecystitis. An urgent cystic arterial embolization and percutaneous transhepatic drainage were done. After initial stablization, laparoscopic cholecystectomy was performed that revealed a necrotic gallbladder filled with large blood clots. It was important for timely management by having an early recognition of this potentially fatal condition.http://www.sciencedirect.com/science/article/pii/S1930043320305070HemorrhagicCholecystitisEmbolizationAngiographyLaparoscopic cholecystectomy |
| spellingShingle | Max K.H. Yam, MBChB, FRCR Shiu Wah Sim, MBBS, FRCR, FHKCR, FHKAM Ka Ying Tam, MBBS, FRCR, FHKCR, FHKAM Yan Lin Li, MBBS, FRCR A 51-year-old female presenting with shock due to hemorrhagic cholecystitis Radiology Case Reports Hemorrhagic Cholecystitis Embolization Angiography Laparoscopic cholecystectomy |
| title | A 51-year-old female presenting with shock due to hemorrhagic cholecystitis |
| title_full | A 51-year-old female presenting with shock due to hemorrhagic cholecystitis |
| title_fullStr | A 51-year-old female presenting with shock due to hemorrhagic cholecystitis |
| title_full_unstemmed | A 51-year-old female presenting with shock due to hemorrhagic cholecystitis |
| title_short | A 51-year-old female presenting with shock due to hemorrhagic cholecystitis |
| title_sort | 51 year old female presenting with shock due to hemorrhagic cholecystitis |
| topic | Hemorrhagic Cholecystitis Embolization Angiography Laparoscopic cholecystectomy |
| url | http://www.sciencedirect.com/science/article/pii/S1930043320305070 |
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