Related Experiment Videos
Haemorrhagic cholecystitis in a newly anticoagulated patient
Ned Kinnear1,2, Derek Barry Hennessey3,4, Rebecca Thomas2
1Department of Urology, Austin Health, Heidelberg, Victoria, Australia ned.kinnear@gmail.com.
Abstract:
A 74-year-old man undergoing rehabilitation after pneumonia developed right upper quadrant abdominal pain. Five days earlier he had been commenced on apixaban for a new diagnosis of atrial fibrillation. Ultrasound and CT scans revealed an acalculous grossly thickened gallbladder, with high attenuation non-echogenic material both within and surrounding the structure. Active contrast extravasation was seen at the neck. On laparotomy, a perforated internally bleeding gallbladder containing a single calculus was found, with significant free blood within the abdomen. After cholecystectomy, the patient recovered slowly in hospital before nursing home placement.