Thrombosis of gallbladder vein presenting as acute peritonitis.
BACKGROUND
Thrombosis of the gallbladder vein occurs rarely, and few clinical features have been reported. We report here with a case of gallbladder vein thrombosis presenting as acute peritonitis in a 75-year-old man.


METHODS
The old man with sudden continuous abdominal pain resorted to the emergency room and treated for peritonitis associated with acute cholecystitis. The treatment failed to slow the progress of the disease, and massive ascites appeared with thickening of the gallbladder wall. Laparotomic investigation was conducted later.


RESULTS
Pathologically, thrombosis of the gallbladder vein was diagnosed.


CONCLUSIONS
The thrombosis of the gallbladder vein is characterized by thickening of the gallbladder wall, ascites, and sudden continuous abdominal pain. The causes of deep vein thrombosis at this unusual site vary.
Department of General Surgery, First Affiliated Hospital, China Medical University, Shenyang 110001, China.
Chun-Lin
CL
Ge
Xiao-Guang
XG
Luo
Yong-Feng
YF
Liu
D000208:Acute Disease; D000368:Aged; D000995:Antitubercular Agents / Q000009:adverse effects / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005704:Gallbladder / Q000098:blood supply*; D006801:Humans; D008297:Male; D010538:Peritonitis / Q000175:diagnosis*; D014376:Tuberculosis / Q000188:drug therapy; D020246:Venous Thrombosis / Q000175:diagnosis* / Q000209:etiology
D000995:Antitubercular Agents