An Uncommon Hemobilia Resulting from an Congestive Lymph Node Associated with Polypoid Tumor of Gallbladder

Metastatic fibrohistiocytic tumor of the gallbladder is an exceedingly rare entity that may lead to hemobilia or even hypovolemic shock. Its clinical course presents with acute or chronic upper gastrointestinal tract bleeding. Emergency laparoscopic cholecystectomy was performed prior to progression to life-threatening shock. Herein, we report a 47-year-old female presenting with poorly controlled anemia, melena, and fatigue over a half-year period. After surgical and postoperative pathological analysis, she was finally diagnosed as a lymph node hemorrhage associated with intraluminal metastatic fibrohistiocytic tumor of the gallbladder.