Severe Hemorrhagic Cholecystitis in the Absence of Common Predisposing Factors.

Hemorrhagic cholecystitis is a rare and potentially life-threatening complication of acute cholecystitis. It lacks specific diagnostic and management guidelines due to its rarity. We present the case of a 70-year-old male with no typical risk factors who developed hemorrhagic cholecystitis. The patient presented with acute right upper quadrant pain radiating to the back and right lower abdomen, accompanied by nausea and fatigue. A CT scan revealed acute hemorrhagic cholecystitis, prompting an emergent open subtotal fenestrated cholecystectomy. Pathology confirmed hemorrhagic cholecystitis without gallstones or masses. The patient recovered uneventfully and was discharged five days after admission.