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KMID : 0985520240290010025
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Korean Journal of Pancreas and Biliary Tract
2024 Volume.29 No. 1 p.25 ~ p.30
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Hemorrhagic Acalculous Cholecystitis in Pyogenic Spondylodiscitis Patient
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Park Myeong-Soon
Kim Ji-Youn
Sagong Min
Lee Kang-Kook
Lee Ji-Yeon
Cho Kwang-Bum
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Abstract
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Hemorrhagic cholecystitis (HC) is a rare form of cholecystitis that may be caused by the progression of either calculous or acalculous cholecystitis, which has been reported sporadically as case reports. Acalculous cholecystitis is often diagnosed late and can be fulminant. HC without gallstones also can have a poor prognosis and be linked to a high mortality rate. Therefore, early detection, hemodynamic monitoring, and prompt treatment are essential to treat bleeding in cholecystitis. We report a case of hemorrhagic acalculous cholecystitis discovered during the examination and point-of-care ultrasound in a patient with pyogenic spondylodiscitis. The patient was referred with a chief complaint of liver dysfunction without bleeding tendencies or risk factors. Ultrasound revealed focal gallbladder wall irregularity, intraluminal membranes, and non-shadowing non-layering intraluminal echoes. Extravascular contrast leakage was exhibited on the computed tomography scan. The patient underwent emergency percutaneous drainage and subsequent cholecystectomy before developing major complications.
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KEYWORD
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Acalculous cholecystitis, Hemobilia, Laparoscopic cholecystectomy
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