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Cholecystitis

Cholecystitis is inflammation of the gall bladder. Cholecystitis is usually caused by a gallstone in the cystic duct, the duct that connects the gallbladder to the hepatic duct. symptom is pain in the upper abdomen. At least 95% of people with acute cholecystitis have gallstones. Risk factors for cholesterol gallstones include age, obesity, female gender, multiple pregnancies, birth control pills, and heredity. It tends to occur after major injuries, operations, burns, bodywide infections (sepsis), and critical illnesses particularly in people receiving prolonged intravenous feedings. It can occur in young children as well, perhaps originating as an infection (viral or other). In chronic cholecystitis, the gallbladder is damaged by repeated attacks of acute inflammation, usually from gallstones, and may become thick-walled, scarred, and small. In severe cases, the gall bladder can rupture and form an abscess or it may lead to a life-threatening infection of the liver called ascending cholangitis . In other cases, it may lead to a stable inflammatory state termed chronic cholecystitis.

Cholecycstitis is a painful inflammation of the gallbladder, the small, pear-shaped sac under the liver that stores bile. It is commonly due to impaction (sticking) of a gallstone within the neck of the gall bladder, leading to inspissation of bile , bile stasis , and infection by gut organisms. After a meal, bile is squeezed out of the gallbladder by strong muscular contractions, and passes through a duct into the duodenum. Some patients have no symptoms. Patients with mild and infrequent symptoms may consider oral medication to dissolve gallstones. Surgery (standard or laparoscopic) is considered for patients with severe symptoms and for patient with cholecystitis.

Causes of Cholecystitis

The common Causes of Cholecystitis :

  • Ischemia (blood supply decrease to gallbladder) .
  • Gallstones .
  • Infections in persons with AIDS .

Symptoms of Cholecystitis

Some Symptoms of Cholecystitis :

  • Nausea.
  • Vomiting .
  • Vague abdominal pain.
  • Fever.
  • Chronic indigestion.
  • Belching.
  • chills.
  • Jaundice .
  • Loss of appetite .

Treatment of Cholecystitis

  • Bowel rest (no food or drink).
  • Surgical removal of the gallbladder 2-3 days after cholecystitis for most patients.
  • Intravenous broad-spectrum antibiotics .
  • Immediate surgical gallbladder removal if gangrene has occurred .
  • Pain medications (Demerol usually best).

 

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