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February 1967

HemocholecystA Case Report

Author Affiliations

Syracuse, NY
From the Department of Surgery, State University Hospital, State University of New York, Syracuse.

Arch Surg. 1967;94(2):286-289. doi:10.1001/archsurg.1967.01330080124030

"HEMOCHOLECYST" may be defined as blood within, or hemorrhage from, the gallbladder. Although this condition was first reported and described by Naunyn in 1892,1 it was not until 1938 that Fiessinger and associates2 used the term "hemocholecyst." They reported the case of a 4-year-old child who developed hemorrhage into a gallbladder which grossly and microscopically appeared quite normal and contained no stones. By 1961 the 34 cases reported in the world's literature were reviewed by Fitzpatrick3 who presented an additional case, associated with a cholecystogastric fistula.

In 1963 Horsburgh and Levi,4 in reviewing the problem of "Haematocele of the Gall Bladder," stated that massive bleeding from the gallbladder itself is most often associated with cholecystitis and stones. There are reported instances4-6 of bleeding into the gallbladder secondary to rupture of an aneurysm of the hepatic or cystic artery. Polyposis or malignancy of the gallbladder associated

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