Hypovolemic shock secondary to necro-hemorrhagic cholecystitis: A very rare entity

The patient is a 47-year-old female with a history of IgA nephropathy requiring a kidney transplant on 2 occasions and a right hemicolectomy due to intestinal perforation. In the immediate postoperative period after left nephrectomy due to a renal tumor, the patient presented hypovolemic shock secondary to necro-hemorrhagic cholecystitis, with active bleeding observed on CT (Figs. 1 and 2) performed due to suspected postoperative hemorrhage. Emergency cholecystectomy was performed, finding 500 cc of hemorrhagic content inside the gallbladder and active bleeding in the parietal peritoneum of the same, which was resolved after ligation of the cystic artery. The patient was discharged without complications.

Fig. 1

Fig. 2