Presentation
Right upper quadrant pain, gastrointestinal bleeding, anaemia.
Patient Data
There is high-density material in the gallbladder and common bile duct, accompanied by gallbladder wall irregularly thickening and surrounding fat stranding, tensile gallbladder fundus sign. Several gallbladder stones. Cystic artery arises from the left hepatic artery. At the level of the gallbladder neck, there is a punctate hyperdensity that suggests damage to the cystic artery. Incidental findings of duodenal diverticula.
Case Discussion
The presence of blood in the gallbladder and common bile duct with irregular thickened walls suggest the diagnosis of haemorrhagic cholecystitis, a rare complication of acute cholecystitis. Punctate hyperdensity of the cystic artery suggests cystic artery pseudoaneurysm. She was operated on, where the diagnosis of haemorrhagic cholecystitis was confirmed.
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