203 Clinical Significance of Haemorrhagic Cholecystitis: Retrospective Case Series

Abstract

Abstract Aim Hemorrhagic cholecystitis (HC) is a rare entity of acute cholecystitis. HC is hard to detect clinically as its symptoms are easily confused with acute calculus or acalculus cholecystitis. Although it is rare the purpose of this study is that early recognition may prevent possible life-threatening complications. Method A retrospective review of HC patients diagnosed by histopathology from 2010 to 2021 at the Australian Capital Territory health hospitals. A search of the histopathology database, patients’ medical records, laboratory results and imaging were conducted. Results Thirty-five patients (1%) were diagnosed on the histopathology report from approximately 3500 patients with cholecystectomies. Thirty-one Patients (88.6%) were presented to emergency, four patients (11.4%) had elective surgery. Twenty-one patients (60%) were female, fifteen patients (40%) were male. The median age was 51 years. All patients had laparoscopic cholecystectomy, four patients (11.4%) were converted to open, and five patients (14.2%) required ERCP. Two patients (5.7%) were on anti-coagulation. Twenty-three (65.7%) had ultrasound, twelve patients (34.2 %) had CT just one was reported as HC. Three patients (8.5%) had MRCP. Intraoperative findings were 8 patients with mucocele (22.8%), 6 patients had gangrenous gall bladder (17.1%),4 patients had empyema of gall bladder (11.4%) and 2 patients had perforated gall bladder (5.7%). Conclusions Our results revealed that all patients with HC were treated with surgical removal of gall bladder and had no post-operative complications. This shows diagnosing HC not effecting the overall clinical outcome for patients.