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Hemorrhagic Necrotizing Cholecystitis With Cholecystocolonic Fistula: A Case Report
Cholecystocolonic fistula (CCF) and hemorrhagic cholecystitis are rare complications of gallstones that have a wide range of non-specific symptoms and clinical severity. We present a case of a 74-year-old woman on warfarin who presented to the emergency department with a 10-day history of abdominal...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9810825/ https://www.ncbi.nlm.nih.gov/pubmed/36620837 http://dx.doi.org/10.7759/cureus.32187 |
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author | AlQahtani, Awadh Alkhawaja, Retaj AlOtaibi, Wadha S Alanazi, Shahad N AlKhayyal, Yazeed Mrad, Bushr Abdulla, Maha-Hamadien AlHassan, Noura Bin Traiki, Thamer |
author_facet | AlQahtani, Awadh Alkhawaja, Retaj AlOtaibi, Wadha S Alanazi, Shahad N AlKhayyal, Yazeed Mrad, Bushr Abdulla, Maha-Hamadien AlHassan, Noura Bin Traiki, Thamer |
author_sort | AlQahtani, Awadh |
collection | PubMed |
description | Cholecystocolonic fistula (CCF) and hemorrhagic cholecystitis are rare complications of gallstones that have a wide range of non-specific symptoms and clinical severity. We present a case of a 74-year-old woman on warfarin who presented to the emergency department with a 10-day history of abdominal pain, vomiting, and watery diarrhea. Her abdomen was distended with generalized tenderness and palpable mass in the right lower quadrant. Laboratory tests revealed leukocytosis and an elevated international normalized ratio (INR). After admission and imaging, exploratory laparotomy showed hemorrhagic cholecystitis with CCF in the cecum. There was no pus or stool contamination. A cholecystectomy followed by right hemicolectomy with primary ileocolic anastomosis was performed. The postoperative course was uneventful, and the patient was discharged in stable condition. The presence of hemorrhagic cholecystitis in conjunction with CCF could lead to significant consequences such as hemorrhagic and septic shock in older patients with comorbidities. It is crucial to identify and intervene early before clinical deterioration. |
format | Online Article Text |
id | pubmed-9810825 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-98108252023-01-05 Hemorrhagic Necrotizing Cholecystitis With Cholecystocolonic Fistula: A Case Report AlQahtani, Awadh Alkhawaja, Retaj AlOtaibi, Wadha S Alanazi, Shahad N AlKhayyal, Yazeed Mrad, Bushr Abdulla, Maha-Hamadien AlHassan, Noura Bin Traiki, Thamer Cureus General Surgery Cholecystocolonic fistula (CCF) and hemorrhagic cholecystitis are rare complications of gallstones that have a wide range of non-specific symptoms and clinical severity. We present a case of a 74-year-old woman on warfarin who presented to the emergency department with a 10-day history of abdominal pain, vomiting, and watery diarrhea. Her abdomen was distended with generalized tenderness and palpable mass in the right lower quadrant. Laboratory tests revealed leukocytosis and an elevated international normalized ratio (INR). After admission and imaging, exploratory laparotomy showed hemorrhagic cholecystitis with CCF in the cecum. There was no pus or stool contamination. A cholecystectomy followed by right hemicolectomy with primary ileocolic anastomosis was performed. The postoperative course was uneventful, and the patient was discharged in stable condition. The presence of hemorrhagic cholecystitis in conjunction with CCF could lead to significant consequences such as hemorrhagic and septic shock in older patients with comorbidities. It is crucial to identify and intervene early before clinical deterioration. Cureus 2022-12-04 /pmc/articles/PMC9810825/ /pubmed/36620837 http://dx.doi.org/10.7759/cureus.32187 Text en Copyright © 2022, AlQahtani et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | General Surgery AlQahtani, Awadh Alkhawaja, Retaj AlOtaibi, Wadha S Alanazi, Shahad N AlKhayyal, Yazeed Mrad, Bushr Abdulla, Maha-Hamadien AlHassan, Noura Bin Traiki, Thamer Hemorrhagic Necrotizing Cholecystitis With Cholecystocolonic Fistula: A Case Report |
title | Hemorrhagic Necrotizing Cholecystitis With Cholecystocolonic Fistula: A Case Report |
title_full | Hemorrhagic Necrotizing Cholecystitis With Cholecystocolonic Fistula: A Case Report |
title_fullStr | Hemorrhagic Necrotizing Cholecystitis With Cholecystocolonic Fistula: A Case Report |
title_full_unstemmed | Hemorrhagic Necrotizing Cholecystitis With Cholecystocolonic Fistula: A Case Report |
title_short | Hemorrhagic Necrotizing Cholecystitis With Cholecystocolonic Fistula: A Case Report |
title_sort | hemorrhagic necrotizing cholecystitis with cholecystocolonic fistula: a case report |
topic | General Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9810825/ https://www.ncbi.nlm.nih.gov/pubmed/36620837 http://dx.doi.org/10.7759/cureus.32187 |
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