Document Detail

Massive hemoperitoneum from transhepatic perforation of the gallbladder: a rare complication of cholelithiasis.
MedLine Citation:
PMID:  2928958     Owner:  NLM     Status:  MEDLINE    
A 74-year-old woman with known cholelithiasis arrived at our emergency department with mild abdominal pain. During investigation she collapsed with abrupt hypotension. A peritoneal tap revealed frank blood. At urgent laparotomy, there were several liters of blood in the peritoneal cavity and two free gallstones, despite an apparently intact gallbladder. We report the second recorded instance of transhepatic perforation of the gallbladder presenting as massive hemoperitoneum.
R G Syme; E J Thomas
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgery     Volume:  105     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  1989 Apr 
Date Detail:
Created Date:  1989-05-08     Completed Date:  1989-05-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  556-9     Citation Subset:  AIM; IM    
Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
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MeSH Terms
Cholelithiasis / complications*,  surgery
Gallbladder Diseases / complications*
Hemoperitoneum / etiology*,  surgery
Liver Diseases / complications*
Rupture, Spontaneous / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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