Abstract
A 72-year-old man was hospitalized for acute cholecystitis, and conservative therapy was started. On the fourth disease day, however, anemia progression and fluid collection in Morrison's pouch were observed. Therefore, emergency surgery was performed. Laparotomy findings included intra-abdominal hemorrhage due to oozing from the gallbladder wall attached to the liver. There was no histopathological evidence of gallbladder perforation. The oozing was considered to be attributable to weakening of blood vessels in the gallbladder wall due to aging, along with increased internal pressure caused by gallbladder tension arising from the outflow of intra-cholecystic hemorrhage to the bile duct being prevented by intra-cholecystic hematoma. Gallbladder hemorrhage and hemorrhagic cholecystitis are rare. However, we should always consider these diseases because they can lead to serious clinical conditions such as shock. We presented a rare case of hemorrhagic cholecystitis with intra-abdominal hemorrhage without gallbladder perforation with a discussion of the relevant literature.
