Hemorrhagic cholecystitis after coronary angiography

Area of Science:

• Gastroenterology and Hepatology
• Cardiology
• Hematology

Background:

• Hemorrhagic cholecystitis is a rare condition with diverse etiologies.
• Accurate diagnosis is crucial due to potential patient fatality.
• Hypocoagulated states, particularly those involving antiplatelet therapy, present diagnostic challenges.

Observation:

• A case report of a 68-year-old patient is presented.
• The patient was on dual antiplatelet therapy.
• The patient underwent coronary angiography and angioplasty, leading to a hypocoagulated state.

Findings:

• The patient developed hemorrhagic cholecystitis.
• This occurred in the context of a hypocoagulated setting post-cardiac intervention.
• The presentation underscores a rare complication in patients with altered coagulation.

Implications:

• Hemorrhagic cholecystitis should be considered in the differential diagnosis of abdominal pain in hypocoagulated patients.
• Awareness of this condition is vital for clinicians managing patients on antiplatelet or anticoagulant therapies.
• Early recognition and management can improve patient outcomes and prevent fatal complications.