Obstructive jaundice and melena caused by hemocholecyst: A case report

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	Obstructive jaundice and melena caused by hemocholecyst: A case report
其他题名	Obstructive jaundice and melena caused by hemocholecyst: A case report
	Fan Ying; Wu ShuoDong; Kong Jing
	2013
发表期刊	WORLD JOURNAL OF GASTROENTEROLOGY
ISSN	1007-9327
卷号	19 期号:13 页码:2126-2128
摘要	A hemocholecyst (HC) is a clot-filled gallbladder caused by bleeding into its lumen. Obstructive jaundice caused by the compression of HC to the hilar biliary tract is likely to be misdiagnosed as cholangiocarcinoma and is extremely rare. We herein report a case of obstructive jaundice and melena caused by HC. A 57-year-old male patient presented with right upper quadrant pain associated with icteric sclera and melena was suspiciously diagnosed as having malignant cholangio-carcinmoa by abdominal ultrasonography, computed tomography and magnetic resonance imaging. Laparotomy found a hematoma in the gallbladder. The hematoma spread to the left hepatic lobe forming an exogenous mass which compressed the hilar biliary tract. Radical cholecystectomy and bile duct exploration with T-tube drainage were performed. Histopathological examination revealed massive necrosis of the gallbladder mucosa with inflammatory cells infiltration as well as intraluminal hematoma formation. One month after operation, a T-tube cholangiography revealed a normal biliary tree. We suggest that HC should be considered in patients with obstructive jaundice and melena after common causes are ruled out. (C) 2013 Baishideng. All rights reserved.
其他摘要	A hemocholecyst (HC) is a clot-filled gallbladder caused by bleeding into its lumen. Obstructive jaundice caused by the compression of HC to the hilar biliary tract is likely to be misdiagnosed as cholangiocarcinoma and is extremely rare. We herein report a case of obstructive jaundice and melena caused by HC. A 57-year-old male patient presented with right upper quadrant pain associated with icteric sclera and melena was suspiciously diagnosed as having malignant cholangiocarcinmoa by abdominal ultrasonography, computed tomography and magnetic resonance imaging. Laparotomy found a hematoma in the gallbladder. The hematoma spread to the left hepatic lobe forming an exogenous mass which compressed the hilar biliary tract. Radical cholecystectomy and bile duct exploration with T-tube drainage were performed. Histopathological examination revealed massive necrosis of the gallbladder mucosa with inflammatory cells infiltration as well as intraluminal hematoma formation. One month after operation, a T-tube cholangiography revealed a normal biliary tree. We suggest that HC should be considered in patients with obstructive jaundice and melena after common causes are ruled out.
关键词	CHOLECYSTITIS SECONDARY HEMOBILIA PATIENT Hemocholecyst Biliary tract Obstruction Jaundice Melena
收录类别	CSCD
语种	英语
CSCD记录号	CSCD:5009227
引用统计
文献类型	期刊论文
条目标识符	http://ir.imr.ac.cn/handle/321006/157636
专题	中国科学院金属研究所
作者单位	中国科学院金属研究所
推荐引用方式 GB/T 7714	Fan Ying,Wu ShuoDong,Kong Jing. Obstructive jaundice and melena caused by hemocholecyst: A case report[J]. WORLD JOURNAL OF GASTROENTEROLOGY,2013,19(13):2126-2128.
APA	Fan Ying,Wu ShuoDong,&Kong Jing.(2013).Obstructive jaundice and melena caused by hemocholecyst: A case report.WORLD JOURNAL OF GASTROENTEROLOGY,19(13),2126-2128.
MLA	Fan Ying,et al."Obstructive jaundice and melena caused by hemocholecyst: A case report".WORLD JOURNAL OF GASTROENTEROLOGY 19.13(2013):2126-2128.