title: Hemorrhagic cholecystitis in an elderly patient taking aspirin and cilostazol.
abstract: Hemorrhage is a rare complication of acute cholecystitis. Patients who develop this complication often are receiving anticoagulation therapy or have a pathologic coagulopathy. We present a case of an elderly patient who developed hemorrhagic cholecystitis while taking aspirin and cilostazol, a phosphodiesterase inhibitor. The patient underwent an emergent abdominal exploration. A large, blood-filled gallbladder was found along with a large hematoma between the liver and gallbladder. We also briefly review the literature regarding hemorrhagic cholecystitis, hemorrhage into the biliary tree, and hemorrhage as a complication of aspirin and phosphodiesterase inhibitor therapy.
authors.affiliation: Mayo Clinic, Rochester, Minn., USA.
authors.forename: David S
authors.initials: DS
authors.lastname: Morris
authors.forename: John R
authors.initials: JR
authors.lastname: Porterfield
authors.forename: Mark D
authors.initials: MD
authors.lastname: Sawyer