| Obstructive jaundice and melena caused by hemocholecyst: A case report | |
| Alternative Title | Obstructive jaundice and melena caused by hemocholecyst: A case report |
| Fan Ying; Wu ShuoDong; Kong Jing | |
| 2013 | |
| Source Publication | WORLD JOURNAL OF GASTROENTEROLOGY
 |
| ISSN | 1007-9327 |
| Volume | 19Issue:13Pages:2126-2128 |
| Abstract | A hemocholecyst (HC) is a clot-filled gallbladder caused by bleeding into its lumen. Obstructive jaundice caused by the compression of HC to the hilar biliary tract is likely to be misdiagnosed as cholangiocarcinoma and is extremely rare. We herein report a case of obstructive jaundice and melena caused by HC. A 57-year-old male patient presented with right upper quadrant pain associated with icteric sclera and melena was suspiciously diagnosed as having malignant cholangio-carcinmoa by abdominal ultrasonography, computed tomography and magnetic resonance imaging. Laparotomy found a hematoma in the gallbladder. The hematoma spread to the left hepatic lobe forming an exogenous mass which compressed the hilar biliary tract. Radical cholecystectomy and bile duct exploration with T-tube drainage were performed. Histopathological examination revealed massive necrosis of the gallbladder mucosa with inflammatory cells infiltration as well as intraluminal hematoma formation. One month after operation, a T-tube cholangiography revealed a normal biliary tree. We suggest that HC should be considered in patients with obstructive jaundice and melena after common causes are ruled out. (C) 2013 Baishideng. All rights reserved. |
| Other Abstract | A hemocholecyst (HC) is a clot-filled gallbladder caused by bleeding into its lumen. Obstructive jaundice caused by the compression of HC to the hilar biliary tract is likely to be misdiagnosed as cholangiocarcinoma and is extremely rare. We herein report a case of obstructive jaundice and melena caused by HC. A 57-year-old male patient presented with right upper quadrant pain associated with icteric sclera and melena was suspiciously diagnosed as having malignant cholangiocarcinmoa by abdominal ultrasonography, computed tomography and magnetic resonance imaging. Laparotomy found a hematoma in the gallbladder. The hematoma spread to the left hepatic lobe forming an exogenous mass which compressed the hilar biliary tract. Radical cholecystectomy and bile duct exploration with T-tube drainage were performed. Histopathological examination revealed massive necrosis of the gallbladder mucosa with inflammatory cells infiltration as well as intraluminal hematoma formation. One month after operation, a T-tube cholangiography revealed a normal biliary tree. We suggest that HC should be considered in patients with obstructive jaundice and melena after common causes are ruled out. |
| Keyword | CHOLECYSTITIS SECONDARY HEMOBILIA PATIENT Hemocholecyst Biliary tract Obstruction Jaundice Melena |
| Indexed By | CSCD |
| Language | 英语 |
| CSCD ID | CSCD:5009227 |
| Citation statistics | |
| Document Type | 期刊论文 |
| Identifier | http://ir.imr.ac.cn/handle/321006/157636 |
| Collection | 中国科学院金属研究所 |
| Affiliation | 中国科学院金属研究所 |
| Recommended Citation GB/T 7714 | Fan Ying,Wu ShuoDong,Kong Jing. Obstructive jaundice and melena caused by hemocholecyst: A case report[J]. WORLD JOURNAL OF GASTROENTEROLOGY,2013,19(13):2126-2128. |
| APA | Fan Ying,Wu ShuoDong,&Kong Jing.(2013).Obstructive jaundice and melena caused by hemocholecyst: A case report.WORLD JOURNAL OF GASTROENTEROLOGY,19(13),2126-2128. |
| MLA | Fan Ying,et al."Obstructive jaundice and melena caused by hemocholecyst: A case report".WORLD JOURNAL OF GASTROENTEROLOGY 19.13(2013):2126-2128. |
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