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Emergency laparoscopic cholecystectomy for hemorrhagic cholecystitis: A case report.
Toshikatsu Nitta1, Ryo Iida1, Masatsugu Ishii1
1Division of Surgery Gastroenterological Center, Medico Shunju Shiroyama Hospital, Osaka, Japan.
International Journal of Surgery Case Reports
|December 2, 2021
Summary
Hemorrhagic cholecystitis (HC) is a rare complication of acute cholecystitis. Timely laparoscopic cholecystectomy led to successful patient remission and discharge.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Hemorrhagic cholecystitis (HC) is a rare, severe complication of acute cholecystitis.
- HC progression can lead to fatal outcomes if not managed promptly.
Purpose of the Study:
- To present a case of hemorrhagic cholecystitis.
- To highlight the importance of early diagnosis and treatment.
Main Methods:
- Case report of a 64-year-old male diagnosed with HC.
- Intraoperative findings included a congested gallbladder surface.
- Resected specimen analysis revealed no gallstones but showed degenerative material, vascular congestion, and red cell extravasation.
Main Results:
- The patient underwent successful laparoscopic cholecystectomy.
- Postoperative recovery was uneventful.
- The patient was discharged 4 days after surgery in remission.
Conclusions:
- Early diagnosis and treatment are crucial for managing HC.
- Timely laparoscopic cholecystectomy can lead to improved patient outcomes.
- Treatment decisions for HC should integrate clinical judgment and literature review.

