Posttraumatic intra-gallbladder hemorrhage in a patient with liver cirrhosis

We report a case of intra-gallbladder hemorrhage secondary to blunt abdomin al trauma in a patient with liver cirrhosis. A 58-year-old man was admitted to a local hospital with persistent right upper quadrant abdominal pain. A nemia was detected, and computed tomography (CT) revealed a high-density ma ss in the gallbladder lumen. He was transferred to our hospital because a g allbladder tumor was suspected. He had a history of habitual alcohol abuse and had sustained blunt abdominal trauma in the right upper quadrant 29 day s before admission to our hospital (4 days before to the admission local ho spital). The intra-gallbladder high-density mass depicted on the CT scan, o bserved as non-shadowing low-level echoes, was deemed to represent a blood clot on ultrasonography (US) performed 31 days after the trauma. US-guided percutaneous transhepatic gallbladder aspiration and cholecystography confi rmed the presence of an old blood clot in the lumen. Because of the patient 's persistent pain, a cholecystectomy was performed. The distended gallblad der was filled with old clotted blood.