Hemoperitoneum secondary to haemocholecyst due to acute cholecystitis

Cir Cir. 2021;89(1):101-103. doi: 10.24875/CIRU.19001757.

Abstract

The haemocholecyst is a rare disease with a low index of suspiction, which is even lower if the patient does not present risk factors. Likewise, the course of this pathology with a haemoperitoneum without vesicular perforation is equally infrequent. We present an unusual case in which the diagnosis of the patient was carried out intraoperatively. We consider that communicating these unusual cases in clinical practice helps to increase clinical suspiction and prompt diagnosis.

El hemocolecisto es una patología poco frecuente y con un índice bajo de sospecha, que todavía es menor si el paciente no presenta factores de riesgo. Asimismo, su curso con clínica de hemoperitoneo sin perforación vesicular es igualmente infrecuente. Presentamos un caso poco habitual en el cual el diagnóstico de la paciente se llevó a cabo intraoperatoriamente. Consideramos que comunicar estos casos poco habituales en la práctica clínica colabora a aumentar la sospecha clínica y el diagnóstico precoz.

Keywords: Acute cholecystitis; Colecistitis aguda; Haemocholecyst; Haemoperitoneum; Hemocolecisto; Hemoperitoneo.

Publication types

  • Case Reports

MeSH terms

  • Cholecystitis, Acute* / complications
  • Gallbladder Diseases*
  • Hemoperitoneum / etiology
  • Humans
  • Rare Diseases