Hemorrhagic Acalculous Cholecystitis in Pyogenic Spondylodiscitis Patient
10.15279/kpba.2024.29.1.25
- Author:
Myeongsoon PARK
1
;
Jiyoun KIM
;
Min SAGONG
;
Kangkook LEE
;
Ji Yeon LEE
;
Kwang Bum CHO
Author Information
1. Division of Gastroenterology, Department of Internal Medicine, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea
- Publication Type:Case Report
- From:Korean Journal of Pancreas and Biliary Tract
2024;29(1):25-30
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
