E-ISSN 2534-9821
 

Case Report 


Gallbladder perforation and massive intraperitoneal bleeding secondary to haemorrhagic cholecystitis

John Yeh, Pranavan Palamuthusingam, John Avramovic.

Abstract
A 76-year-old man on apixaban presented with abdominal pain, vomiting, and signs of haemorrhagic shock. Imaging showed a large volume haemoperitoneum with active arterial extravasation in the gallbladder fossa. The patient proceeded to emergency laparotomy, where a haemorrhage was thought to arise from within a perforated gallbladder. Cholecystectomy was performed, and haemostasis was achieved. Histology showed features of subacute on chronic cholecystitis, with some sections suggestive of underlying arteritis. Haemorrhagic cholecystitis is rare, and gallbladder perforation with massive intraperitoneal haemorrhage is still rarer. This article presents a case report and literature review of this entity.

Key words: haemorrhagic cholecystectomy, intraperitoneal haemorrhage, anticoagulation, laparotomy


 
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How to Cite this Article
Pubmed Style

Yeh J, Palamuthusingam P, Avramovic J. Gallbladder perforation and massive intraperitoneal bleeding secondary to haemorrhagic cholecystitis. Int J Med Rev Case Rep. 2022; 6(13): 39-41. doi:10.5455/IJMRCR.172-1645946674


Web Style

Yeh J, Palamuthusingam P, Avramovic J. Gallbladder perforation and massive intraperitoneal bleeding secondary to haemorrhagic cholecystitis. https://www.mdpub.net/?mno=94122 [Access: September 11, 2022]. doi:10.5455/IJMRCR.172-1645946674


AMA (American Medical Association) Style

Yeh J, Palamuthusingam P, Avramovic J. Gallbladder perforation and massive intraperitoneal bleeding secondary to haemorrhagic cholecystitis. Int J Med Rev Case Rep. 2022; 6(13): 39-41. doi:10.5455/IJMRCR.172-1645946674



Vancouver/ICMJE Style

Yeh J, Palamuthusingam P, Avramovic J. Gallbladder perforation and massive intraperitoneal bleeding secondary to haemorrhagic cholecystitis. Int J Med Rev Case Rep. (2022), [cited September 11, 2022]; 6(13): 39-41. doi:10.5455/IJMRCR.172-1645946674



Harvard Style

Yeh, J., Palamuthusingam, . P. & Avramovic, . J. (2022) Gallbladder perforation and massive intraperitoneal bleeding secondary to haemorrhagic cholecystitis. Int J Med Rev Case Rep, 6 (13), 39-41. doi:10.5455/IJMRCR.172-1645946674



Turabian Style

Yeh, John, Pranavan Palamuthusingam, and John Avramovic. 2022. Gallbladder perforation and massive intraperitoneal bleeding secondary to haemorrhagic cholecystitis. International Journal of Medical Reviews and Case Reports, 6 (13), 39-41. doi:10.5455/IJMRCR.172-1645946674



Chicago Style

Yeh, John, Pranavan Palamuthusingam, and John Avramovic. "Gallbladder perforation and massive intraperitoneal bleeding secondary to haemorrhagic cholecystitis." International Journal of Medical Reviews and Case Reports 6 (2022), 39-41. doi:10.5455/IJMRCR.172-1645946674



MLA (The Modern Language Association) Style

Yeh, John, Pranavan Palamuthusingam, and John Avramovic. "Gallbladder perforation and massive intraperitoneal bleeding secondary to haemorrhagic cholecystitis." International Journal of Medical Reviews and Case Reports 6.13 (2022), 39-41. Print. doi:10.5455/IJMRCR.172-1645946674



APA (American Psychological Association) Style

Yeh, J., Palamuthusingam, . P. & Avramovic, . J. (2022) Gallbladder perforation and massive intraperitoneal bleeding secondary to haemorrhagic cholecystitis. International Journal of Medical Reviews and Case Reports, 6 (13), 39-41. doi:10.5455/IJMRCR.172-1645946674