Morris David S, Porterfield John R, Sawyer Mark D
Mayo Clinic, Rochester, Minn., USA.
Case Rep Gastroenterol. 2008 Jun 23;2(2):203-7. doi: 10.1159/000135693.
Hemorrhage is a rare complication of acute cholecystitis. Patients who develop this complication often are receiving anticoagulation therapy or have a pathologic coagulopathy. We present a case of an elderly patient who developed hemorrhagic cholecystitis while taking aspirin and cilostazol, a phosphodiesterase inhibitor. The patient underwent an emergent abdominal exploration. A large, blood-filled gallbladder was found along with a large hematoma between the liver and gallbladder. We also briefly review the literature regarding hemorrhagic cholecystitis, hemorrhage into the biliary tree, and hemorrhage as a complication of aspirin and phosphodiesterase inhibitor therapy.
出血是急性胆囊炎的一种罕见并发症。发生这种并发症的患者通常正在接受抗凝治疗或患有病理性凝血病。我们报告一例老年患者,该患者在服用阿司匹林和磷酸二酯酶抑制剂西洛他唑时发生了出血性胆囊炎。患者接受了急诊腹部探查。发现一个充满血液的大胆囊以及肝脏和胆囊之间的一个大血肿。我们还简要回顾了关于出血性胆囊炎、胆道树出血以及作为阿司匹林和磷酸二酯酶抑制剂治疗并发症的出血的文献。