Subacute haemorrhagic acalculous cholecystitis after blunt trauma in a patient on anticoagulant therapy.

Abstract

Haemorrhagic cholecystitis is an uncommon cause of abdominal pain that can lead to significant morbidity and mortality if not promptly identified and treated. Known risk factors include trauma, anticoagulation use and cholelithiasis. In a patient with right upper quadrant pain after blunt trauma on anticoagulation without cholelithiasis, haemorrhagic acalculous cholecystitis should be considered in the differential diagnosis, as appeared to be the case in the patient we present here. Fortunately, she recovered after temporisation with a cholecystostomy tube until she underwent more elective interval laparoscopic cholecystectomy.