Haemocholecyst related to gallbladder malignancy. (July 2020)

• Record Type: Journal Article
• Authors: Ray, Sukanta; Ghosh, Ranajoy; Khamrui, Sujan; Kumar Das, Amit; Saha, Suman; Kumar, Dilip
• Is Part Of: Tropical doctor. Volume 50:Number 3(2020)
• Page Start: 243
• Page End: 245
• Publication Date: 2020-07
• Subjects: Haemocholecyst -- gallbladder malignancy -- computed tomography -- abdomen; Tropical medicine -- Periodicals; Medical care -- Developing countries -- Periodicals; Developing Countries -- Periodicals; Tropical Medicine -- Periodicals; Tropische geneeskunde; 616.9883
• DOI: 10.1177/0049475520917264
• Languages: English
• ISSNs: 0049-4755

Abstract

A haemocholecyst is a clot-filled gallbladder caused by bleeding into its lumen. It is a rare entity with fewer than 50 cases reported in the English literature. Preoperative diagnosis is often not possible even with good quality cross-sectional imaging. Here, we present a case of a gallbladder mass, whose nature was only made clear at operation, where a hugely enlarged gallbladder was found filled with blood clots. There was neither liver infiltration nor regional lymphadenopathy. The clinical status of the patient demanded simple cholecystectomy. Histopathological examination, however, revealed a gallbladder adenocarcinoma, infiltrating the perimuscular connective tissue. Thus, more radical surgery was performed eight weeks later. At the 21-month follow-up, the patient was found to be well.