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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.
Insights
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.
Introduction:
Hemorrhagic cholecystitis (HC) is a rare but specific complication of acute cholecystitis. HC progression often leads to fatal and severe outcomes.
Presentation Of Case:
We describe the case of a 64-year-old man who was diagnosed with HC. Intraoperatively, the gallbladder surface was congested. The resected specimen had no gallstones and showed basophilic degenerate material toward the mucosal surface. In addition, vascular congestion and red cell extravasation were noted at the bottom of the layer. The patient's postoperative course was good, and he was discharged with remission 4 days following the operation.
Discussion:
Diagnosis and treatment during early stages are the most critical aspects of HC management and may lead to improved outcomes. We successfully performed timely laparoscopic cholecystectomy for the treatment of HC.
Conclusion:
In cases where HC occurs, appropriate treatment should be chosen by experiential judgment and consideration of the current literature.
