Intramural gallbladder hematoma mimicking gallbladder neoplasm in a 55-year-old male patient.
10.4174/jkss.2011.81.3.216
- Author:
Yu Min JUNG
1
;
Byoung Kwan SON
;
Sang Bong AHN
;
Dong Hee KIM
;
Eun Kyung KIM
Author Information
1. Department of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine, Seoul, Korea. sbk1026@eulji.ac.kr
- Publication Type:Case Report
- Keywords:
Gallbladder;
Intramural hematoma
- MeSH:
Aneurysm;
Arteries;
Cholangiopancreatography, Magnetic Resonance;
Cholecystectomy, Laparoscopic;
Cholecystitis;
Diagnosis, Differential;
Disease Susceptibility;
Gallbladder;
Gallbladder Neoplasms;
Hematoma;
Hemobilia;
Hemorrhage;
Humans;
Incidence;
Male;
Middle Aged;
Partial Thromboplastin Time;
Prothrombin Time
- From:Journal of the Korean Surgical Society
2011;81(3):216-220
- CountryRepublic of Korea
- Language:English
-
Abstract:
Hemorrhage in the gallbladder (GB) is usually associated with cholecystitis, GB neoplasm, trauma, hemobilia, and cystic artery aneurysm. Our patient had not experienced any previous abdominal trauma, and GB hemorrhage was unlikely to result from cholecystitis or bleeding diathesis. A 55-year-old male was admitted because of right upper quadrant pain. Both prothrombin time and partial thromboplastin time were normal. Abdominal computed tomography, endoscopic ultrasound and magnetic resonance cholangiopancreatography were performed. Image studies revealed GB wall thickening and an intraluminal mass. Laparoscopic cholecystectomy was performed. Upon opening the GB postoperatively, a large amount of fresh blood and old blood clot was noted. The incidence of GB hematoma is very rare. GB hematoma should always be considered in the differential diagnosis of GB tumor. In such a situation, surgical intervention is needed for further patient evaluation and management. We present a rare case of intramural GB hematoma, of which we were unable to make a definitive diagnosis preoperatively.
