Gallbladder bleeding-related severe gastrointestinal bleeding and shock in a case with end-stage renal disease: A case report.
Gallbladder (GB) bleeding is very rare and it is caused by cystic artery aneurysm and rupture, or GB wall rupture. For GB rupture, the typical findings are positive Murphy's sign and jaundice. GB bleeding mostly presented as hemobilia. This is the first case presented with severe GI bleeding because of GB rupture-related GB bleeding. After comparing computed tomography, one gallstone spillage was noticed. In addition to gallstones, uremic coagulopathy also worsens the bleeding condition. This is also the first case that patients with GB spillage-related rupture and bleeding were successfully treated by nonsurgical management. Clinicians should bear in mind the rare causes of GI bleeding. Embolization of the bleeding artery should be attempted as soon as possible.
Division of Family Medicine, Cheng Ching General Hospital Department of Internal Medicine, Division of Nephrology, Taichung Veterans General Hospital Department of Life Science, Tunghai University School of Medicine, China Medical University, Taichung Department of Medicine, National Yang Ming University, Taipei, Taiwan.
Jun-Li
JL
Tsai
Shang-Feng
SF
Tsai
D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D016099:Endoscopy, Gastrointestinal; D005705:Gallbladder Diseases / Q000150:complications* / Q000175:diagnosis; D006471:Gastrointestinal Hemorrhage / Q000150:complications* / Q000175:diagnosis; D006431:Hemobilia / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000175:diagnosis; D008297:Male; D012769:Shock / Q000175:diagnosis / Q000209:etiology*; D014057:Tomography, X-Ray Computed