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A 51-year-old female presenting with shock due to hemorrhagic cholecystitis

Max K H Yam1,2, Shiu Wah Sim1,2, Ka Ying Tam1,2

  • 1Diagnostic Radiology Department, North District Hospital, 9 Po Kin Road, Sheungshui, Hong Kong.

Radiology Case Reports
|October 21, 2020
PubMed

Insights

Hemorrhagic cholecystitis, a rare cause of abdominal pain, can lead to shock. Early recognition and intervention are crucial for managing this potentially fatal condition.

Area of Science:

  • Gastroenterology
  • Abdominal Surgery
  • Radiology

Background:

  • Hemorrhagic cholecystitis is an uncommon yet severe condition.
  • It presents with abdominal pain and can rapidly progress to shock.

Observation:

  • A 51-year-old female presented with shock and abdominal pain.
  • Ultrasound revealed hemoperitoneum and cholecystitis; CT showed gallbladder wall thickening and high-density material.

Findings:

  • Differential diagnoses included acute calculous cholecystitis, bleeding tumor, or hemorrhagic cholecystitis.
  • Urgent cystic arterial embolization and percutaneous transhepatic drainage were performed.
  • Laparoscopic cholecystectomy revealed a necrotic gallbladder with extensive blood clots.

Implications:

  • Timely diagnosis and management are critical for improving patient outcomes.
  • This case highlights the importance of early recognition of hemorrhagic cholecystitis.
  • Prompt intervention can prevent life-threatening complications.

Keywords:
AngiographyCholecystitisEmbolizationHemorrhagicLaparoscopic cholecystectomy

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