M. A. Bolívar-Rodríguez, M. A. Cázarez-Aguilar, Rodolfo Fierro-López, Cristian Morales-Ramírez
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Colecistitis hemorrágica: reporte de caso y revisión de la literatura
Introduction: Hemorrhagic cholecystitis is a rare complication of acute cholecystitis with a high mortality. Materials and Method: Patient with abdominal pain in right hypochondrium and jaundice. Laboratory analyses and hepatobiliary ultrasound suggested acute cholecystitis, however, general worsening during hospital stay was observed and a computed tomography was performed, revealing hemorrhagic cholecystitis and hemoperitoneum. Results: Urgent laparotomy which confirmed tomographic results, successfully solved with cholecystectomy. Discussion: Hemorrhagic cholecystitis diagnosis is difficult as symptoms at the beginning do not differ from acute cholecystitis, then, clinical suspicion and a correct image analysis is crucial for its detection. Conclusion: Although, perforated hemorrhagic cholecystitis with hemoperitoneum is a very rare entity with confused diagnosis, an abdominal computed tomography with intravenous contrast is very important in any patient with severe acute cholecystitis suspicion.
期刊介绍:
La Revista Chilena de Cirugía es un órgano de difusión del conocimiento y actividad quirúrgica. Su población objetivo son cirujanos, especialistas de otras áreas médicas, médicos generales y alumnos del área de la salud.
Sirve a cirujanos y otros especialistas, para publicar artículos originales e inéditos sobre temas médicos, en particular artículos de investigación básica y clínica, artículos de revisión, entre otros.
Buscan difundir y actualizar el conocimiento médico general y quirúrgico en particular. Se publica en forma bimestral.
La Revista Chilena de Cirugía está afiliada y patrocinada por la Sociedad de Cirujanos de Chilese desde el año 1952.