Hemorrhagic cholecystitis is a rare complication of acute cholecystitis. Hemorrhage in the gallbladder can occur for a variety of reasons (gallstone cholecystitis, secondary to trauma, percutaneous procedures, neoplasms, bile parasites, or disorders of hemostasis).CT scan can help the diagnosis. We report a case of hemorrhagic cholecystitis complicated by gallbladder perforation

we report the case of a 61-year-old male patient who was admitted with abdominal pain, vomiting and constipation. he had a past medical history of epidermoid lung cancer .computed tomography revealed distended stomach with mural bowel thickening. it was peroperatively two small-bowel metastasis from lung cancer that we resect.