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Title: Haemorrhagic cholecystitis in a newly anticoagulated patient.
Austin Authors: Kinnear, Ned J;Hennessey, Derek B;Thomas, Rebecca
Affiliation: Department of Urology, Craigavon Area Hospital, Portadown, UK
Department of Urology, Austin Health, Heidelberg, Victoria, Australia
Department of General Surgery, Lyell McEwin Hospital, Elizabeth Vale, Australia
Issue Date: 12-Apr-2017
Date: 2017
Publication information: BMJ Case Reports 2017; 2017: bcr-2016-214617
Abstract: A 74-year-old man undergoing rehabilitation after pneumonia developed right upper quadrant abdominal pain. Five days earlier he had been commenced on apixaban for a new diagnosis of atrial fibrillation. Ultrasound and CT scans revealed an acalculous grossly thickened gallbladder, with high attenuation non-echogenic material both within and surrounding the structure. Active contrast extravasation was seen at the neck. On laparotomy, a perforated internally bleeding gallbladder containing a single calculus was found, with significant free blood within the abdomen. After cholecystectomy, the patient recovered slowly in hospital before nursing home placement.
DOI: 10.1136/bcr-2016-214617
ORCID: 0000-0002-7833-2537
Journal: BMJ Case Reports
PubMed URL: 28404563
Type: Journal Article
Subjects: Drugs and medicines
Gastrointestinal surgery
Appears in Collections:Journal articles

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