Hemorrhagic Cholecystitis in a Patient on Maintenance Dialysis
The present paper describes a case of hemorrhagic cholecystitis in a patient on maintenance dialysis. The patient presented with right upper quadrant abdominal pain. Computed tomography revealed swelling of the gallbladder, high- and isodensity contents of the gallbladder, and high-density stone in...
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| Veröffentlicht in: | Case reports in gastroenterology 2017-08, Vol.11 (2), p.488-493 |
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| creator | Shishida, Masayuki Ikeda, Masahiro Karakuchi, Nozomi Ono, Kosuke Tsukiyama, Naofumi Shimomura, Manabu Oishi, Koichi Miyamoto, Kazuaki Toyota, Kazuhiro Sadamoto, Seiji Takahashi, Tadateru |
| description | The present paper describes a case of hemorrhagic cholecystitis in a patient on maintenance dialysis. The patient presented with right upper quadrant abdominal pain. Computed tomography revealed swelling of the gallbladder, high- and isodensity contents of the gallbladder, and high-density stone in the gallbladder neck. He was hospitalized for suspected acute cholecystitis. After hospitalization, his levels of total bilirubin, aspartate aminotransferase, and alanine aminotransferase increased. T2-weighted magnetic resonance imaging showed low-intensity contents expanded to include a wide area from the common bile duct to the cystic duct and gallbladder neck. Endoscopic retrograde cholangiopancreatography revealed clotting from the duodenal papilla. After cannulation of the bile duct, old blood and pus began to flow from the mammary papilla, and an endoscopic nasobiliary drainage tube was placed. After his liver function had improved, the patient underwent laparoscopic cholecystectomy. His sample revealed that the gallbladder was filled with blood clots and stones. His postoperative course was uneventful and he was discharged on day 19 after the procedure. Although hemorrhagic cholecystitis is rare, it should be considered as a differential diagnosis for patients on dialysis who have acute abdominal symptoms. |
| doi_str_mv | 10.1159/000479497 |
| format | Article |
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The patient presented with right upper quadrant abdominal pain. Computed tomography revealed swelling of the gallbladder, high- and isodensity contents of the gallbladder, and high-density stone in the gallbladder neck. He was hospitalized for suspected acute cholecystitis. After hospitalization, his levels of total bilirubin, aspartate aminotransferase, and alanine aminotransferase increased. T2-weighted magnetic resonance imaging showed low-intensity contents expanded to include a wide area from the common bile duct to the cystic duct and gallbladder neck. Endoscopic retrograde cholangiopancreatography revealed clotting from the duodenal papilla. After cannulation of the bile duct, old blood and pus began to flow from the mammary papilla, and an endoscopic nasobiliary drainage tube was placed. After his liver function had improved, the patient underwent laparoscopic cholecystectomy. His sample revealed that the gallbladder was filled with blood clots and stones. His postoperative course was uneventful and he was discharged on day 19 after the procedure. Although hemorrhagic cholecystitis is rare, it should be considered as a differential diagnosis for patients on dialysis who have acute abdominal symptoms.</description><identifier>ISSN: 1662-0631</identifier><identifier>EISSN: 1662-0631</identifier><identifier>DOI: 10.1159/000479497</identifier><identifier>PMID: 29033767</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Abdomen ; Anticoagulants ; Bile ; Case reports ; Dialysis ; Gallbladder diseases ; Hemobilia ; Hemodialysis ; Hemorrhagic cholecystitis ; Single Case</subject><ispartof>Case reports in gastroenterology, 2017-08, Vol.11 (2), p.488-493</ispartof><rights>2017 The Author(s). Published by S. Karger AG, Basel</rights><rights>Copyright © 2017 by S. Karger AG, Basel 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4007-84c6276bf7cfae708ae8e000302cd70978a4770ef3eebdeb77fadd11d7639943</citedby><cites>FETCH-LOGICAL-c4007-84c6276bf7cfae708ae8e000302cd70978a4770ef3eebdeb77fadd11d7639943</cites><orcidid>0000-0003-1159-3908</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5624269/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5624269/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,27612,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29033767$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shishida, Masayuki</creatorcontrib><creatorcontrib>Ikeda, Masahiro</creatorcontrib><creatorcontrib>Karakuchi, Nozomi</creatorcontrib><creatorcontrib>Ono, Kosuke</creatorcontrib><creatorcontrib>Tsukiyama, Naofumi</creatorcontrib><creatorcontrib>Shimomura, Manabu</creatorcontrib><creatorcontrib>Oishi, Koichi</creatorcontrib><creatorcontrib>Miyamoto, Kazuaki</creatorcontrib><creatorcontrib>Toyota, Kazuhiro</creatorcontrib><creatorcontrib>Sadamoto, Seiji</creatorcontrib><creatorcontrib>Takahashi, Tadateru</creatorcontrib><title>Hemorrhagic Cholecystitis in a Patient on Maintenance Dialysis</title><title>Case reports in gastroenterology</title><addtitle>Case Rep Gastroenterol</addtitle><description>The present paper describes a case of hemorrhagic cholecystitis in a patient on maintenance dialysis. The patient presented with right upper quadrant abdominal pain. Computed tomography revealed swelling of the gallbladder, high- and isodensity contents of the gallbladder, and high-density stone in the gallbladder neck. He was hospitalized for suspected acute cholecystitis. After hospitalization, his levels of total bilirubin, aspartate aminotransferase, and alanine aminotransferase increased. T2-weighted magnetic resonance imaging showed low-intensity contents expanded to include a wide area from the common bile duct to the cystic duct and gallbladder neck. Endoscopic retrograde cholangiopancreatography revealed clotting from the duodenal papilla. After cannulation of the bile duct, old blood and pus began to flow from the mammary papilla, and an endoscopic nasobiliary drainage tube was placed. After his liver function had improved, the patient underwent laparoscopic cholecystectomy. His sample revealed that the gallbladder was filled with blood clots and stones. His postoperative course was uneventful and he was discharged on day 19 after the procedure. Although hemorrhagic cholecystitis is rare, it should be considered as a differential diagnosis for patients on dialysis who have acute abdominal symptoms.</description><subject>Abdomen</subject><subject>Anticoagulants</subject><subject>Bile</subject><subject>Case reports</subject><subject>Dialysis</subject><subject>Gallbladder diseases</subject><subject>Hemobilia</subject><subject>Hemodialysis</subject><subject>Hemorrhagic cholecystitis</subject><subject>Single Case</subject><issn>1662-0631</issn><issn>1662-0631</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>M--</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNptkU1vEzEQhi0EoqVw4I7QSpx6CIw_4llfKlWhtJVagVDvlteeTRw262BvkPLvWUiatlJPtuxHzzujl7H3HD5zPjVfAEChUQZfsGOutZiAlvzlo_sRe1PKEkArIflrdiQMSIkaj9nZFa1Szgs3j76aLVJHfluGOMRSxb5y1Q83ROqHKvXVrYv9QL3rPVVfo-u2JZa37FXrukLv9ucJu_t2cTe7mtx8v7yend9MvALASa28FqibFn3rCKF2VNM4tQThA4LB2ilEoFYSNYEaxNaFwHlALY1R8oRd77QhuaVd57hyeWuTi_b_Q8pz6_IQfUe2CV5yqKHRjVY1KiODg-CFxzD1KHF0ne1c602zouDH7bLrnkif_vRxYefpj51qoYQ2o-DTXpDT7w2VwS7TJvfj-lZwjtzUuoaROt1RPqdSMrWHBA72X2v20NrIfnw80oG8r-kh8pfLc8oHYPbzcqew69CO1IdnqX3KX2Hvpqs</recordid><startdate>20170817</startdate><enddate>20170817</enddate><creator>Shishida, Masayuki</creator><creator>Ikeda, Masahiro</creator><creator>Karakuchi, Nozomi</creator><creator>Ono, Kosuke</creator><creator>Tsukiyama, Naofumi</creator><creator>Shimomura, Manabu</creator><creator>Oishi, Koichi</creator><creator>Miyamoto, Kazuaki</creator><creator>Toyota, Kazuhiro</creator><creator>Sadamoto, Seiji</creator><creator>Takahashi, Tadateru</creator><general>S. 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The patient presented with right upper quadrant abdominal pain. Computed tomography revealed swelling of the gallbladder, high- and isodensity contents of the gallbladder, and high-density stone in the gallbladder neck. He was hospitalized for suspected acute cholecystitis. After hospitalization, his levels of total bilirubin, aspartate aminotransferase, and alanine aminotransferase increased. T2-weighted magnetic resonance imaging showed low-intensity contents expanded to include a wide area from the common bile duct to the cystic duct and gallbladder neck. Endoscopic retrograde cholangiopancreatography revealed clotting from the duodenal papilla. After cannulation of the bile duct, old blood and pus began to flow from the mammary papilla, and an endoscopic nasobiliary drainage tube was placed. After his liver function had improved, the patient underwent laparoscopic cholecystectomy. His sample revealed that the gallbladder was filled with blood clots and stones. His postoperative course was uneventful and he was discharged on day 19 after the procedure. Although hemorrhagic cholecystitis is rare, it should be considered as a differential diagnosis for patients on dialysis who have acute abdominal symptoms.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>29033767</pmid><doi>10.1159/000479497</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-1159-3908</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Case reports in gastroenterology, 2017-08, Vol.11 (2), p.488-493 |
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| source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Karger Open Access |
| subjects | Abdomen Anticoagulants Bile Case reports Dialysis Gallbladder diseases Hemobilia Hemodialysis Hemorrhagic cholecystitis Single Case |
| title | Hemorrhagic Cholecystitis in a Patient on Maintenance Dialysis |
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