Nagakumar Nikhil M, Lakhotia Vishal, Jain Rushil, Sachdeva Aditi, Panda Sourav, Agarwal Manish, Krishnamurthy Jagadeesh
Department of GI & Surgical Oncology, Max Smart Super Speciality Hospital, Saket, New Delhi 110017, India.
Department of General Surgery, Max Super Speciality Hospital, Saket, New Delhi 110017, India.
J Surg Case Rep. 2025 Jul 21;2025(7):rjaf298. doi: 10.1093/jscr/rjaf298. eCollection 2025 Jul.
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.
伴有胆道出血的出血性胆囊炎是一种罕见疾病，若发生穿孔和坏死，其发病率和死亡率很高。出血性胆囊炎和肝内胆囊穿孔在临床上难以诊断，且可能危及生命。这是一例新型冠状病毒肺炎患者并发出血性胆囊炎、胆道出血伴梗阻性黄疸及肝内胆囊穿孔的病例。老年患者（>70岁）行急诊胆囊切除术的并发症和死亡率较高，因此对于是否进行手术的决定应慎重考虑。
