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Case Reports
. 2016 Jun;95(23):e3870.
doi: 10.1097/MD.0000000000003870.

Gallbladder bleeding-related severe gastrointestinal bleeding and shock in a case with end-stage renal disease: A case report

Jun-Li Tsai  1 , Shang-Feng Tsai
Affiliations
Case Reports

Gallbladder bleeding-related severe gastrointestinal bleeding and shock in a case with end-stage renal disease: A case report

Jun-Li Tsai et al. Medicine (Baltimore). 2016 Jun.

Erratum in

  • Erratum: Medicine, Volume 95, Issue 23: Erratum.
    [No authors listed] [No authors listed] Medicine (Baltimore). 2016 Jul 18;95(28):e0916. doi: 10.1097/01.md.0000489580.04709.16. eCollection 2016 Jul. Medicine (Baltimore). 2016. PMID: 31265603 Free PMC article.

Abstract

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.

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Conflict of interest statement

The authors report no conflicts of interest.

Figures

Figure 1
Figure 1
(A) Two gallbladder stones (black arrows). (B) One gallbladder stone (black arrow head), with contrast extravasations (white arrows). (C) One stone over right retroperitoneum (black arrow). 1. Active bleeding over gallbladder from medial anterior branch of cystic artery (black arrow).
See this image and copyright information in PMC

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