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Open Access 01-12-2019 | Cholecystitis | Case report

Gallbladder perforation without cholecystitis in a patient awaiting liver transplantation: a peculiar case report of anaemia in cirrhosis

Authors: Marco Biolato, Claudia Tarli, Giuseppe Marrone, Brunella Barbaro, Antonio Liguori, Antonio Gasbarrini, Antonio Grieco

Published in: BMC Gastroenterology | Issue 1/2019

Abstract

Background

Acute anaemia in decompensated liver cirrhosis is commonly caused due to gastrointestinal bleeding; however, sometimes, detecting the site of blood loss is challenging.

Case summary

A patient on waitlist for orthotopic liver transplantation because of decompensated liver cirrhosis was admitted with acute anaemia and recurrence of ascites. Their abdomen CT showed migration of gallbladder stones in the pelvis while paracentesis documented hemoperitoneum. A diagnosis of gallbladder perforation was performed.

Conclusion

Challenging choice of a “wait and see” strategy with conservative therapy, avoiding high-risk cholecystectomy, resulted in a successful liver transplant.

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Title: Gallbladder perforation without cholecystitis in a patient awaiting liver transplantation: a peculiar case report of anaemia in cirrhosis
Authors: Marco Biolato
Claudia Tarli
Giuseppe Marrone
Brunella Barbaro
Antonio Liguori
Antonio Gasbarrini
Antonio Grieco
Publication date: 01-12-2019
Publisher: BioMed Central
Keywords: Cholecystitis
Liver Transplantation
Computed Tomography
Computed Tomography
Tympanotomy
Cholecystectomy
Gastrointestinal Bleeding
Liver Transplantation
Liver Cirrhosis
Liver Transplantation
Ascites
Liver Transplantation
Liver Transplantation
Published in: BMC Gastroenterology / Issue 1/2019
Electronic ISSN: 1471-230X
DOI: https://doi.org/10.1186/s12876-019-1018-9

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