Gallbladder hemorrhage–An uncommon surgical emergency:A case report

作     者：Maria Rosaria Valenti Andrea Cavallaro Maria Di Vita Antonio Zanghi Giovanni Longo Trischitta Alessandro Cappellani 

作者机构：Department of SurgeryUniversity of Catania Medical SchoolUniversity of CataniaCatania 95123Italy 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2022年第10卷第27期

页      面：9734-9742页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Gallbladder Hemorrhage Anticoagulants Cholecystectomy Surgery Case report 

摘      要：BACKGROUND Gallbladder hemorrhage is a life-threatening ***(accidental or iatrogenic such as a percutaneous biopsy or cholecystectomy surgery),cholelithiasis,biliary tract parasitosis,vasculitis,vascular malformations,autoimmune and neoplastic diseases and coagulopathies have been described as causes of hemorrhage within the lumen of the *** use of nonsteroidal anti-inflammatory drugs and anticoagulants may represent a risk *** SUMMARY We report the case of a 76-year-old male *** urgent contrast computed tomography scan demonstrated relevant distension of the gallbladder filled with hyperdense non-homogeneous *** gallbladder walls were of regular *** the anterior wall a focus of suspected active bleeding was *** to the progressive decrease in hemoglobin despite three blood transfusions,this was an indication for urgent *** Early diagnosis of this potentially fatal pathology is essential in order to plan a strategy and eventually proceed with urgent surgical treatment.