J Korean Radiol Soc.  1996 Jan;34(1):95-98.

Ultrasonographic and Computed Tomographic Findings of Hemorrhagic Cholecystitis: Report of Two Cases

• Kim BS
• Byun JY
• Kim JW
• Shinn KS

Abstract

Hemorrhagic cholecystitis(HC) is a rare complication of gallbladder(GB) disease characterized by mucosal and intraluminal hemorrhage of the GB. We report ultrasonographic(US) and computed tomographic(CT) findings of two cases of HC. Hemorrhagic fluid filled in the inflamed GB lumen was initially seen as homogenoeus hyperdense and hyperattenuated lesion on both US and CT, respectively. As resolution of the hematoma and gangrenous change of the GB wall progress, US showed inhomogeneous mixed echogenic lesion in the GB having partially indisinct border, mimicking an invasive mass. At this stage, CT still showed homogeneous hyperdense hematoma and a small amount off luid in the GB, without evidence of contrast enhancement.

Keyword

Cholecystitis; Gallbladder, CT; Gallbladder, US

MeSH Terms

Cholecystitis*
Hematoma
Hemorrhage