[Spontaneous gallbladder rupture caused by "variceal hemorrhage"--an unusual complication of portal vein thrombosis].
The post-mortem examination of a 50-year-old man, who had died suddenly, revealed a massive intraabdominal hemorrhage resulting from the rupture of an ectatic vein situated in the gall-bladder bed; the consecutive hemorrhage first led to a hematoma of the gall-bladder and secondarily to a tear of its wall. A macronodular alcoholic cirrhosis of the liver had caused a thrombosis in the hilar branches of the portal vein. The link in the pathogenesis between this portal vein occlusion and the venous bleeding into the gall-bladder is to be seen in a collateral circulation between the portal and caval system via the vena cystica. This unusual portal bypass using the veins of the gall-bladder extends the wide scope concerning the differential diagnosis of sudden natural death.
Hellerich
U
U
Pathologischen Institut, Universität Freiburg/Br.
Pollak
S
S
D005704:Gallbladder / Q000098:blood supply*; D005705:Gallbladder Diseases / Q000473:pathology*; D006465:Hemoperitoneum / Q000473:pathology; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D011169:Portal Vein / Q000473:pathology*; D012422:Rupture, Spontaneous; D013927:Thrombosis / Q000473:pathology*; D014648:Varicose Veins / Q000473:pathology*
Spontane Gallenblasenruptur infolge "Varizenblutung"--Eine ungewöhnliche Komplikation bei Pfortaderthrombose.