# Conservative management of haemorrhagic cholecystitis, haemobilia with obstructive jaundice: a case report

## TL;DR

This case report describes a rare and severe condition involving bleeding gallbladder inflammation and bile duct bleeding in a patient with COVID-19, managed without surgery.

## Contribution

The paper presents a rare case of haemorrhagic cholecystitis with haemobilia and obstructive jaundice managed conservatively in an elderly patient.

## Key findings

- Haemorrhagic cholecystitis with haemobilia is rare and can be life-threatening if not diagnosed early.
- Conservative management was chosen over surgery in an elderly patient due to high surgical risks.
- The case highlights the challenges in diagnosing and treating intrahepatic gallbladder perforation.

## Abstract

Haemorrhagic cholecystitis with haemobilia is a rare disease associated with high rates of morbidity and mortality if perforation and necrosis occur. Haemorrhagic cholecystitis and intrahepatic gallbladder perforation becomes hard to diagnose clinically and can be life threatening. This is a case of haemorrhagic cholecystitis, haemobilia with obstructive jaundice and intrahepatic gallbladder perforation in a COVID pneumonia patient. Emergency cholecystectomy in elderly (>70 yrs) is associated with high complication and mortality rates, therefore the decision whether or not to perform surgery should be well considered.