Biliary colic, also known as symptomatic cholelithiasis, a gallbladder attack or gallstone attack, is when a colic (sudden pain) occurs due to a gallstone temporarily blocking the cystic duct. (wikipedia.org)
Isolated rebound tenderness in the RUQ reflects localised peritoneal irritation secondary to leakage of inflammatory fluid (acute cholecystitis) or gall bladder contents (gall bladder perforation contained locally within the omentum). (learnsurgeryonline.com)
This condition can present as a mild condition or as a severe disease (with complications such as gallbladder gangrene, perforation, empyema) which require emergent intervention. (lecturio.com)
About 15% of people with biliary colic eventually develop inflammation of the gallbladder if not treated. (wikipedia.org)
Patients usually have normal vital signs with biliary colic, whereas patients with cholecystitis are usually febrile and more ill appearing. (wikipedia.org)
citation needed] The presence of gallstones can lead to inflammation of the gallbladder (cholecystitis) or the biliary tree (cholangitis) or acute inflammation of the pancreas (pancreatitis). (wikipedia.org)
CT scanning with intravenous (IV) contrast medium is useful in diagnosing acute cholecystitis in patients with nonspecific abdominal pain. (medscape.com)
Gall stone disease presents a spectrum of pathology, ranging from asymptomatic gall stones, to acute cholecystitis and ascending cholangitis. (learnsurgeryonline.com)
Patients with acalculous cholecystitis may present with fever and sepsis alone, without the history of pain. (medscape.com)
Right upper qu3
It is usually described as sharp, crampy, dull or severe right upper quadrant pain, which may radiate to the right shoulder, or less commonly, behind the breastbone. (wikipedia.org)
The gold standard imaging modality for the presence of gallstones is ultrasound of the right upper quadrant. (wikipedia.org)
[13] Pain with deep inspiration leading to termination of the breath while pressing on the right upper quadrant of the abdomen usually causes severe pain ( Murphy's sign ). (wikizero.com)
Murphy's1
Murphy's sign is demonstrated by asking the patient to inspire while the examiner palpates deeply in the right subcostal region. (learnsurgeryonline.com)
Inflammation1
Mechanical irritation by gallstones can also produce chronic GB inflammation. (lecturio.com)
Cholangitis1
Surgical treatment choices are based on the patient's clinical condition: less radical surgical procedures such as endoscopic retrograde cholangiopancreatography (ERCP) are done emergently in sick patients with ascending cholangitis or gall stone pancreatitis. (learnsurgeryonline.com)
gallstone disease is the major cause of pancreatitis. (wikipedia.org)
They may have epigastric and/or RUQ tenderness, or diffuse abdominal tenderness (more likely to be gall stone pancreatitis). (learnsurgeryonline.com)
Complications1
Complications from gallstone disease is 0.3% per year and therefore prophylactic cholecystectomy are rarely indicated unless part of a special population that includes porcelain gallbladder, individuals eligible for organ transplant, diabetics and those with sickle cell anemia. (wikipedia.org)
Occurs1
Gallstone formation occurs from the precipitation of crystals that aggregate to form stones. (wikipedia.org)
Complication1
It may occur as a complication of burns or multiple trauma, and patients are very ill on presentation. (learnsurgeryonline.com)
Mechanical1
Rarely, a gallstone can become impacted in the ileocecal valve that joins the caecum and the ileum, causing gallstone ileus (mechanical ileus). (wikipedia.org)
Stones7
Furthermore, biliary pain may be associated with functional disorders of the biliary tract, so-called acalculous biliary pain (pain without stones), and can even be found in patients post-cholecystectomy (removal of the gallbladder), possibly as a consequence of dysfunction of the biliary tree and the sphincter of Oddi. (wikipedia.org)
Gall bladder disease (specifically gall stones) is the most common abdominal complaint causing hospital admission in the developed world. (learnsurgeryonline.com)
In the UK, 5.5 million people have gall stones and 50 000 cholecystectomies are performed each year. (learnsurgeryonline.com)
Gall stones are 2-3 times more common in women than in men at post-mortem. (learnsurgeryonline.com)
7 in 10 patients with gall stones are likely to be asymptomatic. (learnsurgeryonline.com)
Bilirubin1
If the bile duct does become completely or partially obstructed, the patient will also develop pale stools and dark urine (since bilirubin can no longer pass into the gut in the normal way). (learnsurgeryonline.com)
Jaundice1
Severe jaundice suggests another cause of symptoms such as choledocholithiasis . (wikizero.com)
Disease5
Biliary pain in the absence of gallstones, known as postcholecystectomy syndrome, may severely affect the patient's quality of life, even in the absence of disease progression. (wikipedia.org)
However, the presence of gallstones is a frequent incidental finding and does not always necessitate treatment, in the absence of identifiable disease. (wikipedia.org)
The patient may be flushed, jaundiced, dehydrated, tachycardic and hypotensive, all depending on the stage of gall stone disease continuum. (learnsurgeryonline.com)
Surgery is not indicated in asymptomatic patients, except in some select groups (e.g. sickle cell disease). (learnsurgeryonline.com)
[1] Risk factors for gallstones include birth control pills , pregnancy , a family history of gallstones, obesity , diabetes , liver disease , or rapid weight loss . (wikizero.com)
His magnum opus, De Sedibus et Causis Morborum per Anatomem Indagatis , published in 1761, describes the findings of over 600 partial and complete autopsies, organised anatomically and methodically correlated with the symptoms exhibited by the patients prior to their demise. (bionity.com)
People1
Nearly 30% of people have further problems related to gallstones in the year following an attack. (wikipedia.org)
Include2
Therefore, in conclusion, it is probably not unreasonable to include the advice of refraining from the cooking of food for optimal gallbladder distension prior to cholecystosonography. (docksci.com)
The primary functions of the gallbladder include concentrating and storing up to 50 mL of bile. (lecturio.com)
Family1
On questioning, these patients denied any intake of food for at least 8 hours prior to the examination, but it was revealed that a large proportion of these patients had been preparing food for the family prior to their visit to the hospital. (docksci.com)
Problems1
We discussed the sonographic features that may allow differentiation between the various causes for a mass in the gallbladder and emphasized some of the practical problems that allow such lesions to be misdiagnosed or overlooked. (docksci.com)
B Banerjee and I Brett Department of Radiodiagnosis and Imaging, Tameside General Hospital, Fountain Street, Ashton-under-Lyne, Lancashire Over a period of several years it has been noticed that in a number of patients undergoing cholecystosonography, as in outpatient procedures, the gallbladder was found to be contracted although otherwise appeared normal. (docksci.com)