Focal Transmural Necrosis of the Gallbladder with Bleeding Resulting in a Massive Haemoperitoneum

Abstract

A case of massive haemoperitoneum as a complication of focal transmural necrosis of the gallbladder with bleeding during acute cholecystitis is reported. Urgent laparotomy and cholecystectomy was performed to secure an adequate haemostasis. A review of the literature confirmed that this condition is a very rare complication of acute cholecystitis. Only 44 similar cases have been reported between 1858 and 1996. In our case, bleeding was caused by the edges of a necrotic zone in the gallbladder wall.

Key words:

• Acute cholecystitis
• cholelithiasis
• gallbladder perforation
• haemoperitoneum
• gallbladder bleeding