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Case Reports
. 2025 Jul 21;2025(7):rjaf298.
doi: 10.1093/jscr/rjaf298. eCollection 2025 Jul.

Conservative management of haemorrhagic cholecystitis, haemobilia with obstructive jaundice: a case report

Nikhil M Nagakumar  1 , Vishal Lakhotia  2 , Rushil Jain  3 , Aditi Sachdeva  2 , Sourav Panda  2 , Manish Agarwal  3 , Jagadeesh Krishnamurthy  4
Affiliations
Case Reports

Conservative management of haemorrhagic cholecystitis, haemobilia with obstructive jaundice: a case report

Nikhil M Nagakumar et al. J Surg Case Rep. .

Abstract

Haemorrhagic cholecystitis with haemobilia is a rare disease associated with high rates of morbidity and mortality if perforation and necrosis occur. Haemorrhagic cholecystitis and intrahepatic gallbladder perforation becomes hard to diagnose clinically and can be life threatening. This is a case of haemorrhagic cholecystitis, haemobilia with obstructive jaundice and intrahepatic gallbladder perforation in a COVID pneumonia patient. Emergency cholecystectomy in elderly (>70 yrs) is associated with high complication and mortality rates, therefore the decision whether or not to perform surgery should be well considered.

Keywords: haemobilia; haemorrhagic cholecystitis; intrahepatic gallbladder perforation; laparoscopic cholecystectomy; obstructive jaundice.

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Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1
Ultrasound abdomen showing oedematous gallbladder with a heterogenous hypoechoic collection in gallbladder fossa (approximately measuring 9 × 4 cm).
See this image and copyright information in PMC

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