Korean J Gastroenterol.  2009 Aug;54(2):63-65. 10.4166/kjg.2009.54.2.63.

A Case of Hemocholecyst

• Noh R
• Kim HJ

• KMID: 1775960
• DOI: http://doi.org/10.4166/kjg.2009.54.2.63

Abstract

No abstract available.

MeSH Terms

Adult
Cholecystectomy
Diagnosis, Differential
Gallbladder Diseases/pathology
Hemobilia/*diagnosis/pathology/ultrasonography
Humans
Male
Tomography, X-Ray Computed

Figure

• 

  Fig. 1. Abdominal sonographic findings: (A) Large mixed echogenic, layering and nonshadowing materials were noted in distended gallbladder (GB). (B) Internal blood flow of GB mass was not detected in real-time doppler sonography.

• 

  Fig. 2. Abdominal CT showed streak (arrow) extending from the gallbladder wall into the lumen which suggested active bleeding.

• 

  Fig. 3. ERCP finding. Intermittent blood expulsion from the ampulla was observed during ERCP.

• 

  Fig. 4. Surgical specimen of the GB showed massive blood clots but no stones in the gallbladder.

• 

  Fig. 5. Histologic finding. The gallbladder wall was thickened and luminal surface had diffuse hemorrhagic infarction with necrotic debris (H&E stain, ×100).

Reference

1. Fitzpatrick TJ. Hemocholecyst: a neglected cause of gastrointestinal hemorrhage. Ann Intern Med. 1961; 55:1008–1013.

2. Ku J, DeLaRosa J, Kang J, Hoyt D, Coimbra R. Acute cholecystitis with a hemocholecyst, as an unusual presentation of gallbladder cancer: report of a case. Surg Today. 2004; 34:973–976.

3. Heise CP, Giswold M, Eckhoff D, Reichelderfer M. Cholecystitis caused by hemocholecyst from underlying malignancy. Am J Gastroenterol. 2000; 95:973–976.

4. Yamamoto T, Kubo S, Hirohashi K, et al. Secondary hemocholecyst after radiofrequency ablation therapy for hepatocellular carcinoma. J Gastroenterol. 2003; 30:399–403.

5. Karatepe O, Tukenmez M, Adas G, et al. Cholecystitis caused by hemocholecyst: an unusual complication of hemophilia A. Central European J Med. 2007; 2:539–542.

6. Jenkins M, Golding RH, Cooperberg PL. Sonography, and computed tomography of hemorrhagic cholecystitis. Am J Roentgenol. 1983; 140:1197–1198.

7. Rajul P, Charles O. Hemorrhagic cholecystitis as a complication of anticoagulant therapy: role of CT in its diagnosis. Abdom Imaging. 2008; 33:652–653.

8. Ellington RT, Seidel RH, Burdick JS, Peterson WL, Harford WV. Acalculous cholecystitis presenting as hemobilia and jaundice. Gastrointest Endosc. 2000; 51:218–220.