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23 November 2019 : Case report  Lebanon

An Intra-Operatively Diagnosed Case of Hemorrhagic Cholecystitis in a 43-year-old Patient: Case Report

Challenging differential diagnosis, Rare disease

George Khoury1BCEF, Gregory Nicolas1ABDEF*, Elias A. Abou-Jaoude2BCDEF, Nancy Emmanuel2CDEF, Adnan Awdeh1BCDE, Brian Bitar3BCD, Christian Saliba1BCDE, Julien Sami Atef El Sayegh1BCEF, Dani Osman1BCEF, Elie Zaghrini4BCDE

DOI: 10.12659/AJCR.915999

Am J Case Rep 2019; 20:1732-1735

Abstract

BACKGROUND: Hemorrhagic cholecystitis is an uncommon occurrence in the setting of gallbladder pathology. It is a rare complication of acute cholecystitis that may have a misleading presentation and workup, making it challenging to diagnose pre-operatively.

CASE REPORT: We report the case of a 43-year-old female who presented for severe epigastric pain with nausea and vomiting and whose imaging was in favor of acute cholecystitis. The patient was scheduled for laparoscopic cholecystectomy, during which she was found to have hemorrhagic cholecystitis, later confirmed by pathology.

CONCLUSIONS: Hemorrhagic cholecystitis is an uncommon diagnosis in patients presenting with abdominal pain. The case discussed hereafter was found to have hemorrhagic cholecystitis intra-operatively. Urgent cholecystectomy is crucial in the setting of hemorrhagic cholecystitis due to its possible fatality. This case emphasizes the importance of thinking of hemorrhagic cholecystitis in a patient presenting for what appears to be a severe acute cholecystitis.

Keywords: Abdominal Pain, Cholecystectomy, Laparoscopic, Hemorrhagic Disorders, Cholecystitis, Diagnosis, Differential, Hemorrhage

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923