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

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.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Tsai JL,Tsai SF

doi

10.1097/MD.0000000000003870

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

e3870

issue

23

eissn

0025-7974

issn

1536-5964

pii

00005792-201606070-00037

journal_volume

95

pub_type

杂志文章

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