Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
A Case of Hemorrhagic Cholecystitis due to Dieulafoy's Lesion of the Gallbladder
Shunji HAYASHIToru FUNAKOSHIMasaya KINAJouji TAKADAHiromi HAMADA
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2014 Volume 75 Issue 8 Pages 2280-2283

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Abstract
Dieulafoy's lesion of gallbladder is extremely rare, and little is known of its etiology. A 59-year-old male was admitted with fever, epigastralgia, and jaundice. Laboratory data showed severe inflammation, mild liver dysfunction, and obstructive jaundice. Ultrasonography showed the gallbladder tightly filled with debris, but there were no gallstones. Percutaneous transhepatic gallbladder drainage revealed intracholecystic hemorrhage. On the following day, laparoscopic cholecystectomy was performed. The gallbladder was not filled with stones or bile, but with clots. A minute ulceration of the mucosa in the body of the gallbladder was identified. Pathology showed the presence of Dieulafoy's lesion in the gallbladder.
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© 2014 Japan Surgical Association
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