Conservative management of haemorrhagic cholecystitis, haemobilia with obstructive jaundice: a case report

Nikhil M Nagakumar1, Vishal Lakhotia2, Rushil Jain3

  • 1Department of GI & Surgical Oncology, Max Smart Super Speciality Hospital, Saket, New Delhi 110017, India.

Haemorrhagic cholecystitis with haemobilia is a rare disease associated with high rates of morbidity and mortality if perforation and necrosis occur. Haemorrhagic cholecystitis and intrahepatic gallbladder perforation becomes hard to diagnose clinically and can be life threatening. This is a case of haemorrhagic cholecystitis, haemobilia with obstructive jaundice and intrahepatic gallbladder perforation in a COVID pneumonia patient. Emergency cholecystectomy in elderly (>70 yrs) is associated with high complication and mortality rates, therefore the decision whether or not to perform surgery should be well considered.