Lefevre A, Vanclooster P, de Gheldere C, Lagrange W, Troch A, Pen J, Van der Perre C
Department of Surgery, H. Hartziekenhuis, Lier, Belgium.
Acta Chir Belg. 1998 Jun;98(3):113-5.
A case of massive haemoperitoneum as a complication of focal transmural necrosis of the gallbladder with bleeding during acute cholecystitis is reported. Urgent laparotomy and cholecystectomy was performed to secure an adequate haemostasis. A review of the literature confirmed that this condition is a very rare complication of acute cholecystitis. Only 44 similar cases have been reported between 1858 and 1996. In our case, bleeding was caused by the edges of a necrotic zone in the gallbladder wall.
报告了一例急性胆囊炎期间胆囊局灶性透壁坏死伴出血导致大量腹腔积血的病例。进行了紧急剖腹手术和胆囊切除术以确保充分止血。文献回顾证实，这种情况是急性胆囊炎非常罕见的并发症。在1858年至1996年期间仅报告了44例类似病例。在我们的病例中，出血是由胆囊壁坏死区域的边缘引起的。
