Back to Search
Start Over
Acute Hemorrhagic Cholecystitis with Large Hemoperitoneum: Treatment with Microcoil Embolization and Subsequent Cholecystectomy
- Source :
- J Radiol Case Rep
- Publication Year :
- 2021
- Publisher :
- EduRad, 2021.
-
Abstract
- Hemorrhagic cholecystitis is a potentially deadly and difficult to recognize entity. It is associated with cystic artery pseudoaneurysm and is usually seen in the setting of acute calculous cholecystitis. We report two cases of hemorrhagic cholecystitis with arteriographic findings of cystic artery pseudoaneurysms that were successfully embolized using microcoils, facilitating subsequent cholecystectomy. Both cases had unusual presentations of gallbladder rupture with hemoperitoneum, the latter of which was atypical occurring in the absence of gallstones. We believe when hemorrhagic cholecystitis is suspected, a two-step therapeutic approach should be employed with embolization of the bleeding cystic artery followed by cholecystectomy. A comprehensive literature review and discussion of hemorrhagic cholecystitis will be provided.
- Subjects :
- medicine.medical_specialty
medicine.diagnostic_test
business.industry
medicine.medical_treatment
Cystic artery pseudoaneurysm
Gallstones
Cystic artery
medicine.disease
medicine.artery
Interventional Radiology
Angiography
medicine
Cholecystitis
Radiology, Nuclear Medicine and imaging
Cholecystectomy
Radiology
Embolization
Hemoperitoneum
medicine.symptom
business
Subjects
Details
- ISSN :
- 19430922
- Volume :
- 15
- Database :
- OpenAIRE
- Journal :
- Journal of Radiology Case Reports
- Accession number :
- edsair.doi.dedup.....365a9538136e8c61ba40b4d09cba86dd