Haemorrhagic Cholecystitis Complicated by Rupture of the Gallbladder with Hemoperitoneum

Abstract

We report the case of a 56-year-old diabetic and hypertensive patient, taking antivitamin K for a cardiopathy complicated by a chronic pulmonary heart, who presented an acute cholecystitis with a hypovolaemic shock. The abdominal CT scan showed a ruptured lithiasis hemocholecysis with medium-sized hemoperitoneum and the patient was operated on,the gallbladder was distended containing a lot of stones and it was perforated at the fundus with a large hemoperitoneum containing stones. The procedure consisted of cholecystectomy, haemostasis and evacuation of the haemoperitoneum. Hemocholecyst is a rare complication of anticoagulant treatments. The presence of gallbladder stones promotes intravesicular bleeding. The usual complication is the vesicular perforation. In spite of its rarity, haemocholecyst should be suspected when an anticoagulants treatedpatient presents symptoms of acute cholecystitis with or without haemorrhagic shock.