Thrombosis of gallbladder vein presenting as acute peritonitis

• Published in: Hepatobiliary & pancreatic diseases international Vol. 9; no. 1; pp. 100 - 102
• Main Authors: Ge, Chun-Lin, Luo, Xiao-Guang, Liu, Yong-Feng
• Format: Journal Article
• Language: English
• Published: Singapore 01.02.2010
• Subjects: Acute Disease; Aged; Antitubercular Agents - adverse effects; Antitubercular Agents - therapeutic use; deep; Diagnosis, Differential; gallbladder; Gallbladder - blood supply; Humans; Male; Peritonitis - diagnosis; thrombosis; Tuberculosis - drug therapy; vein; Venous Thrombosis - diagnosis; Venous Thrombosis - etiology
• ISSN: 1499-3872

BACKGROUND:Thrombosis of the gallbladder vein occurs rarely,and few clinical features have been reported.We report here with a case of gallbladder vein thrombosis presenting as acute peritonitis in a 75-year-old man.METHODS:The old man with sudden continuous abdominal pain resorted to the emergency room and treated for peritonitis associated with acute cholecystitis.The treatment failed to slow the progress of the disease,and massive ascites appeared with thickening of the gallbladder wall.Laparotomic investigation was conducted later.RESULT:Pathologically,thrombosis of the gallbladder vein was diagnosed.CONCLUSIONS:The thrombosis of the gallbladder vein is characterized by thickening of the gallbladder wall,ascites,and sudden continuous abdominal pain.The causes of deep vein thrombosis at this unusual site vary.