Hemorrhagic Lithiasic acute Cholecystitis complicated by Cholecystoduodenal Fistula, Mirizzi Syndrome, and Upper Gastrointestinal Bleeding – Clinical, Endoscopic, and Surgical Considerations. Case Report

Le résumé fourni par la source

Hemorrhagic acute cholecystitis is a rare and severe form of acute cholecystitis, characterized by intraluminal gallbladder hemorrhage, mural ischemia, and an increased risk of local and systemic complications.Its association with Mirizzi syndrome and biliary-enteric fistula may lead to upper gastrointestinal bleeding, representing an atypical and diagnostically challenging clinical presentation.We report the case of a 61-year-old male patient with significant cardiovascular comorbidities and chronic oral anticoagulation, diagnosed with hemorrhagic lithiasic acute cholecystitis complicated by a cholecystoduodenal fistula and Mirizzi syndrome.A combined surgical and staged endoscopic approach resulted in a favorable clinical outcome.

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