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Hemorrhagic cholecystitis in an elderly patient taking aspirin and cilostazol

David S Morris1, John R Porterfield, Mark D Sawyer

  • 1Mayo Clinic, Rochester, Minn., USA.

Case Reports in Gastroenterology
|April 15, 2011
PubMed

Hemorrhage is a rare complication of acute cholecystitis. Patients who develop this complication often are receiving anticoagulation therapy or have a pathologic coagulopathy. We present a case of an elderly patient who developed hemorrhagic cholecystitis while taking aspirin and cilostazol, a phosphodiesterase inhibitor. The patient underwent an emergent abdominal exploration. A large, blood-filled gallbladder was found along with a large hematoma between the liver and gallbladder. We also briefly review the literature regarding hemorrhagic cholecystitis, hemorrhage into the biliary tree, and hemorrhage as a complication of aspirin and phosphodiesterase inhibitor therapy.

Keywords:
Aspirin complicationsCholecystitisHemorrhagic cholecystitisPhosphodiesterase inhibitor complications

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