Counihan T C, Islam S, Swanson R S
University of Massachusetts Medical Center, Worcester 10655-0333, USA.
Am Surg. 1996 Sep;62(9):757-8.
Acute cholecystitis following hemobilia is very rare, with only five cases reported in the literature. A case report of a 22-year-old woman who underwent a liver biopsy for staging of Hodgkin's lymphoma and developed cholecystitis due to hemobilia is presented. The incidence of hemobilia has increased with the advent of more invasive hepatobiliary procedures, but the mortality has been decreasing due to better recognition and therapy. Acute cholecystitis associated with hemobilia is very rare, but will be seen with increasing frequency; and a high index of suspicion needs to be maintained to ensure timely diagnosis and treatment.
胆血症后发生的急性胆囊炎非常罕见，文献中仅报道过5例。本文报告了1例22岁女性患者，该患者因霍奇金淋巴瘤分期接受肝脏活检，后因胆血症并发胆囊炎。随着侵入性更强的肝胆手术的出现，胆血症的发生率有所上升，但由于识别和治疗水平的提高，死亡率一直在下降。与胆血症相关的急性胆囊炎非常罕见，但将会越来越常见；需要保持高度的怀疑指数以确保及时诊断和治疗。
