When blood mimics bile: A case of haemorrhagic cholecystitis masquerading as biliary pancreatitis.

IF 1.2 4区医学 Q4 GASTROENTEROLOGY & HEPATOLOGY

Acta gastro-enterologica Belgica Pub Date : 2025-07-01 DOI:10.51821/88.3.14249

A Vertessen, J Dutré, J Weyler, M Simoens, T Apers, J Lenz

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引用次数: 0

Abstract

Background: Cholecystitis and pancreatitis are frequent indications for hospitalization in gastroenterology and hepatology, predominantly due to cholelithiasis. Standard management strategies with imaging and cholecystectomy are common practice. This case report highlights the importance of considering atypical causes in patients presenting with symptoms suggestive of cholecystitis and pancreatitis.

Case report: A female patient presented repeatedly to the emergency department with atypical ultrasound findings suggestive of cholecystitis with secondary pancreatitis. Following an episode of severe upper gastrointestinal bleeding, a diagnosis of haemobilia with secondary pancreatitis was established.

Discussion: This case illustrates that haemobilia can present with symptoms resembling calculous cholecystitis and biliary pancreatitis. Diagnosis can be challenging, especially in the absence of recent procedures or known malignancy. Quincke's triad-pain, jaundice, and bleeding-is observed in only a third of cases.

Conclusion: Haemobilia, though rare, is an important differential diagnosis in cases of upper gastrointestinal bleeding and biliary obstruction. A multidisciplinary approach is essential for prompt diagnosis and appropriate treatment.

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当血模拟胆汁：出血性胆囊炎伪装成胆道性胰腺炎1例。

背景：胆囊炎和胰腺炎是胃肠病学和肝病学住院的常见指征，主要是由于胆石症。标准的治疗策略包括影像学和胆囊切除术是常见的做法。本病例报告强调了在出现胆囊炎和胰腺炎症状的患者中考虑非典型病因的重要性。病例报告：一名女性患者多次以非典型超声检查提示胆囊炎伴继发性胰腺炎就诊于急诊科。发生严重上消化道出血后，诊断为胆道出血伴继发性胰腺炎。讨论：本病例说明胆道出血可表现出类似结石性胆囊炎和胆道性胰腺炎的症状。诊断可能具有挑战性，特别是在最近没有手术或已知恶性肿瘤的情况下。只有三分之一的病例出现了昆克综合症——疼痛、黄疸和出血。结论：胆道出血虽然罕见，但却是上消化道出血和胆道梗阻的重要鉴别诊断。多学科方法对于及时诊断和适当治疗至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta gastro-enterologica Belgica Medicine-Gastroenterology

CiteScore

2.30

自引率

20.00%

发文量

期刊介绍： The Journal Acta Gastro-Enterologica Belgica principally publishes peer-reviewed original manuscripts, reviews, letters to editors, book reviews and guidelines in the field of clinical Gastroenterology and Hepatology, including digestive oncology, digestive pathology, as well as nutrition. Pure animal or in vitro work will not be considered for publication in the Journal. Translational research papers (including sections of animal or in vitro work) are considered by the Journal if they have a clear relationship to or relevance for clinical hepato-gastroenterology (screening, disease mechanisms and/or new therapies). Case reports and clinical images will be accepted if they represent an important contribution to the description, the pathogenesis or the treatment of a specific gastroenterology or liver problem. The language of the Journal is English. Papers from any country will be considered for publication. Manuscripts submitted to the Journal should not have been published previously (in English or any other language), nor should they be under consideration for publication elsewhere. Unsolicited papers are peer-reviewed before it is decided whether they should be accepted, rejected, or returned for revision. Manuscripts that do not meet the presentation criteria (as indicated below) will be returned to the authors. Papers that go too far beyond the scope of the journal will be also returned to the authors by the editorial board generally within 2 weeks. The Journal reserves the right to edit the language of papers accepted for publication for clarity and correctness, and to make formal changes to ensure compliance with AGEB’s style. Authors have the opportunity to review such changes in the proofs.