A Case of Cholelithiasis with Massive Lower Gastrointestinal Bleeding.
- Author:
Dong Won AHN
1
;
Sun Jung MYUNG
;
Cheol Min SHIN
;
Su Jong YU
;
Ji Won YOO
;
Soo Jeong CHO
;
Jae Hyun CHO
;
Ji Kon RYU
;
Yong Tae KIM
;
Yong Bum YOON
;
Jin Young JANG
Author Information
1. Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea. jkryu@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Cholelithiasis;
Gastrointestinal hemorrhages
- MeSH:
Acute Pain;
Cholangitis;
Cholecystectomy;
Cholecystitis;
Cholelithiasis*;
Colon, Transverse;
Female;
Fistula;
Gallstones;
Gastrointestinal Hemorrhage;
Hemorrhage*;
Humans;
Ileus;
Middle Aged;
Necrosis;
Pancreatitis
- From:Korean Journal of Gastrointestinal Endoscopy
2005;31(6):432-436
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cholelithiasis is a relatively common disease and can present with various clinical manifestations and complications such as no symptoms, biliary pain, acute cholecystitis, biliary pancreatitis, acute cholangitis, gallstone ileus and biliary enteric fistula. However, cholelithiasis presenting with intra-gallbladder bleeding and massive gastrointestinal bleeding are relatively rare in the worldwide literature and there have been only a few reported case studies. We present here an interesting case of a 63 year-old women with gallstone, active intra-gallbladder bleeding and massive hematochezia who underwent open cholecystectomy, resection and anastomosis of the transverse colon. This patient's pathologic evaluation revealed a finding of acute and chronic cholecystitis with marked hemorrhage and transmural fibrinoid necrosis in the transverse colon.
