1/10. Sonographic diagnosis of traumatic gallbladder rupture.gallbladder injuries after blunt abdominal trauma are rare and often follow a vague and insidious clinical course. Consequently, gallbladder injuries commonly go undiagnosed until exploratory laparotomy. early diagnosis is essential, because trauma to the gallbladder is typically treated surgically, and delay in treatment can result in considerable mortality and morbidity. With sonography emerging as a first-line modality for evaluation of intra-abdominal trauma, sonographers may wish to become more familiar with the appearance of gallbladder injury on sonography to facilitate earlier diagnosis and to improve treatment and prognosis. We report a case of gallbladder perforation after blunt abdominal trauma diagnosed on the basis of computed tomography (CT) and sonography.- - - - - - - - - - ranking = 1keywords = gallbladder (Clic here for more details about this article) |
2/10. Fatal spontaneous gallbladder variceal bleeding in a patient with alcoholic cirrhosis.gallbladder varices are unusual ectopic varices that may develop in patients with portal hypertension, particularly in those with portal vein occlusion. In rare instances, these varices may cause hemobilia, life-threatening bleeding, or even rupture of the gallbladder. We report the first case of a 41-year-old man with alcoholic cirrhosis and patent portal vein who developed massive hemoperitoneum from spontaneous rupture of varices in the gallbladder fossa. The diagnosis of gallbladder varices eluded conventional imaging and was made only at autopsy. gallbladder variceal hemorrhage is a rare, but potentially catastrophic complication of cirrhosis.- - - - - - - - - - ranking = 0.875keywords = gallbladder (Clic here for more details about this article) |
3/10. Angiosarcoma of the gallbladder: case report and review of the literature.A 62-year-old white woman with an unremarkable past medical history presented with acute cholecystitis. A cholecystectomy was performed, revealing an acute hemorrhagic and chronic cholecystitis associated with cholelithiasis. Two months after the operation, the patient developed a massive hemoperitoneum and died by hypo-volemic shock. At autopsy, an angiosarcoma measuring 5 cm in diameter was found in the liver, at the site of the gallbladder fossa. There were multiple hepatic, splenic, ovarian and peritoneal metastases and a massive hemoperitoneum consisting of 8 L of blood and blood clots. review of the tissue sections from the patient's gallbladder confirmed the presence of an acute hemorrhagic and chronic cholecystitis and also revealed residual foci of an angiosarcoma. A review of eight previously reported cases of gallbladder angiosarcoma is also presented.- - - - - - - - - - ranking = 0.875keywords = gallbladder (Clic here for more details about this article) |
4/10. Fatal hemoperitoneum from traumatic gallbladder avulsion: an autopsy case report.This report describes a rare autopsy case of death due to gallbladder injury. The victim was a 63-year-old man, with a clinical history of liver cirrhosis and alcohol abuse. The postmortem examination revealed fatal hemoperitoneum from traumatic gallbladder avulsion. Related injuries were observed in the right hypochondriac region. Normal distended gallbladder, liver cirrhosis and alcohol abuse were considered to be the predisposing factors. The gradual development of bleeding from the small vessels of the gallbladder and the liver bed may have caused extensive hemoperitoneum.- - - - - - - - - - ranking = 1keywords = gallbladder (Clic here for more details about this article) |
5/10. Spontaneous rupture of the gallbladder and haemoperitoneum in a patient with cardiac valve prostheses.A case is reported of isolated spontaneous rupture of the gallbladder with obstructed cystic duct and a stone in the cystic cavity, in a patient on anticoagulant treatment after cardiac valve replacement. The mechanism of the onset, the diagnosis and the treatment of the lesion are discussed together with a review of the literature.- - - - - - - - - - ranking = 0.625keywords = gallbladder (Clic here for more details about this article) |
6/10. Haemoperitoneum--a complication of acute cholecystitis in a patient on anticoagulant therapy. A case report.A case of haemoperitoneum in a patient taking warfarin sodium, originating in the wall of a perforated, inflamed gallbladder, is presented. To the best of our knowledge such a case has not been reported previously. Diagnostic and therapeutic aspects are briefly discussed.- - - - - - - - - - ranking = 0.125keywords = gallbladder (Clic here for more details about this article) |
7/10. Massive hemoperitoneum from transhepatic perforation of the gallbladder: a rare complication of cholelithiasis.A 74-year-old woman with known cholelithiasis arrived at our emergency department with mild abdominal pain. During investigation she collapsed with abrupt hypotension. A peritoneal tap revealed frank blood. At urgent laparotomy, there were several liters of blood in the peritoneal cavity and two free gallstones, despite an apparently intact gallbladder. We report the second recorded instance of transhepatic perforation of the gallbladder presenting as massive hemoperitoneum.- - - - - - - - - - ranking = 0.75keywords = gallbladder (Clic here for more details about this article) |
8/10. Ruptured choledochal cyst: recognition and management.A case is described of the rupture of a choledochal cyst in a 21-year-old man involved in a motor vehicle accident. At laparotomy, a haemoperitoneum was traced to a large haematoma in the lesser omentum which extended into the mesocolon and was found to be tinged with bile. Eventually it became apparent that the primary pathological condition was a large choledochal cyst into which opened the gallbladder. This cyst had split longitudinally down its anterior surface from the porta hepatis to the duodenum. bile leakage was controlled by inserting a Foley catheter into the common hepatic duct, and inflating the balloon. Postoperative cholangiography showed massive cystic dilation of the intrahepatic ducts. Five days after the initial operation, a Roux-en Y cystjejunostomy was performed, and the patient has been well since. Crucial points in the emergency management of this condition appear to be in its recognition, and the provision of an adequate method of primary biliary drainage, if the condition of the patient demands staged management. End-to-end cystjejunostomy provides a satisfactory method of final drainage.- - - - - - - - - - ranking = 0.125keywords = gallbladder (Clic here for more details about this article) |
9/10. Computed tomography of blunt trauma to the gallbladder.The CT findings are reviewed in two patients with injuries to the gallbladder following blunt abdominal trauma. In one patient with a laceration of the cystic artery a large intraluminal clot was identified within the gallbladder associated with extensive hemoperitoneum. Another patient presented with extensive bile leakage into the peritoneal cavity 72 h after blunt trauma due to laceration of the fundus of the gallbladder. The clinical features of blunt trauma to the gallbladder and the utility of CT in this entity are reviewed.- - - - - - - - - - ranking = 1keywords = gallbladder (Clic here for more details about this article) |
10/10. Focal transmural necrosis of the gallbladder with bleeding resulting in a massive haemoperitoneum.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.- - - - - - - - - - ranking = 0.75keywords = gallbladder (Clic here for more details about this article) |
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