Massive intraperitoneal bleeding due to hemorrhagic cholecystitis and gallbladder rupture: CT findings
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- 作者：Kyriaki Tavernaraki (1) sandytavernaraki@yahoo.gr
Alexandra Sykara (1)
Ekaterini Tavernaraki (1)
Dimitrios Chondros (1)
Evangelos D. Lolis (2) - 关键词：Hemorrhagic cholecystitis – ; Gallbladder rupture – ; Hemoperitoneum – ; Computed tomography – ; Acute cholecystitis
- 刊名：Abdominal Imaging
- 出版时间：October 2011
- 出版年：2011
- 期刊代码：1_0942-8925
- 类别：med
- 卷：36
- 期：5
- 页码：565-568
- 数据来源：sp
摘要
Hemorrhagic cholecystitis with subsequent gallbladder rupture and torrential bleeding is a very rare but life-threatening complication of acute biliary tract diseases. Its clinical presentation may be dubious and therefore Computed Tomography (CT) imaging plays a crucial role in a prompt and accurate diagnosis. We present a case of a 64 year-old male who was admitted to the emergency department with clinical findings of acute cholecystitis. During the following hours the patient became hemodynamically unstable and an emergency abdominal CT scan was performed. CT revealed massive hemoperitoneum containing free gallstones. In addition, active extravasation of iv contrast material inside the gallbladder lumen was demonstrated. Based on these findings hemorrhagic cholecystitis with gallbladder rupture was suspected and the patient underwent urgent laparotomy. We describe specific CT findings of this rare condition, thus emphasizing the role of imaging in facilitating urgent surgical treatment.