Introduction
Acquired hemophilia A (AHA) is an infrequent autoimmune bleeding disorder caused by autoantibodies against coagulation factor VIII. Hemorrhaging can occur anywhere but most predominantly is seen in subcutaneous and deep muscle 1. However, gallbladder hemorrhaging in a patient with AHA is extremely rare. Rupture of gallbladder is an infrequent complication, and the majority of cases have resulted from penetrating wall injures. Rupture of gallbladder can lead to fatal consequences, but a rapid diagnosis and treatment are occasionally difficult because of its rare entity and severity2.
We report a case of sudden-onset gallbladder rupture due to Ceftriaxone (CTRX)-associated pseudolithiasis in a patient with AHA.