AnatomyDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and ProcessesHealth Care
IleusGallstonesIntestinal ObstructionGallbladderCholelithiasisIntestinal FistulaGallbladder EmptyingBiliary FistulaJejunal DiseasesIleal DiseasesCholecystectomySigmoid DiseasesUrinary BladderGastroscopesGallbladder DiseasesGallbladder NeoplasmsUrinary Bladder NeoplasmsBileCholecystographyCholecystitisTomography, X-Ray ComputedIntestinal Pseudo-ObstructionLaparoscopyTechnetium Tc 99m LidofeninCholecystokininPlant TumorsCholecystolithiasisUrinary Bladder DiseasesUrsodeoxycholic AcidCystic DuctMeconiumBile Acids and SaltsBiliary TractCholecystectomy, LaparoscopicSphincter of OddiCholesterolChenodeoxycholic AcidCommon Bile DuctUrinary Bladder, OveractiveGastrointestinal MotilityRetrospective StudiesImino AcidsCholecystitis, AcuteBile PigmentsTechnetium Tc 99m Diethyl-iminodiacetic AcidLithotripsyMotilinUrinary Bladder, NeurogenicBilirubinBile DuctsCholangiography
Ascending cholangitisCystic ductCholelithiasisPeople with gallstonesAcalculous CholecystitisComplicationsPancreatitisCholedocholithiasisInflammationOccursAdultsBilirubinBiliary treeCholecystectomyStonesOccurSymptomaticBile ductDiagnosisInflammatoryAsymptomaticCommonlyBowelMechanicalObesityDiseaseSymptomsOutpatientPresenceSurgeryComponentsLastsCommonAbdominal painDiseasesAttacksPainRiskIncludeManagementYearCasesFormation
Ascending cholangitis3
  • Other complications can include ascending cholangitis, which occurs when a bacterial infection causes purulent inflammation in the biliary tree and liver, and acute pancreatitis caused by blockage of the bile ducts that prevents active enzymes from being secreted into the bowel, instead damaging the pancreas. (wikipedia.org)
  • Gall stone disease presents a spectrum of pathology, ranging from asymptomatic gall stones, to acute cholecystitis and ascending cholangitis. (learnsurgeryonline.com)
  • 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)
Cystic duct7
Cholelithiasis3
People with gallstones2
Acalculous Cholecystitis2
Complications5
  • Complications from gallstones may include inflammation of the gallbladder (cholecystitis), inflammation of the pancreas (pancreatitis), obstructive jaundice, and infection in bile ducts (cholangitis). (wikipedia.org)
  • CT scanning is a secondary imaging test that can identify extrabiliary disorders and complications of acute cholecystitis when US has not yielded a clear diagnosis. (medscape.com)
  • [1] Complications of acute cholecystitis include gallstone pancreatitis , common bile duct stones , or inflammation of the common bile duct . (wikizero.com)
  • 50% of NAFLD patients could develop were specified prior to the literature search with complications as steatohepatitis, cirrhosis, fibrosis, Prospero (CRD42016032764). (egyptianjournal.xyz)
  • 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)
Pancreatitis12
  • Gallstones within the ampulla of Vater can obstruct the exocrine system of the pancreas and can result in pancreatitis. (wikipedia.org)
  • Acute Pancreatitis. (booksca.ca)
  • Chronic Pancreatitis. (booksca.ca)
  • They may have epigastric and/or RUQ tenderness, or diffuse abdominal tenderness (more likely to be gall stone pancreatitis). (learnsurgeryonline.com)
  • Acute pancreatitis occurs suddenly and lasts for a short period of time and usually resolves. (drmichaelsoo.com.au)
  • Acute pancreatitis is usually caused by drinking too much alcohol or by gallstones. (drmichaelsoo.com.au)
  • A gallstone can block the pancreatic duct, trapping digestive enzymes in the pancreas and causing pancreatitis. (drmichaelsoo.com.au)
  • Chronic pancreatitis does not resolve itself and results in a slow destruction of the pancreas. (drmichaelsoo.com.au)
  • Chronic pancreatitis occurs when digestive enzymes attack and destroy the pancreas and nearby tissues. (drmichaelsoo.com.au)
  • Chronic pancreatitis is usually caused by many years of alcohol abuse, excess iron in the blood, and other unknown factors. (drmichaelsoo.com.au)
  • gallstone disease is the major cause of pancreatitis. (wikipedia.org)
  • 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)
Choledocholithiasis3
  • The presence of gallstones in the common bile duct is called choledocholithiasis, from the Greek choledocho- (χοληδόχος, 'bile-containing', from chol- + docho-, 'duct') + lith- + -iasis. (wikipedia.org)
  • See also " Choledocholithiasis ," " Acute cholecystitis ," and " Acute cholangitis . (amboss.com)
  • See " Acute management checklist for choledocholithiasis . (amboss.com)
Inflammation4
  • In rare cases, gallstones that cause severe inflammation can erode through the gallbladder into adherent bowel, potentially causing an obstruction termed gallstone ileus. (wikipedia.org)
  • Mechanical irritation by gallstones can also produce chronic GB inflammation. (lecturio.com)
  • chronic inflammation Inflammation Inflammation is a complex set of responses to infection and injury involving leukocytes as the principal cellular mediators in the body's defense against pathogenic organisms. (lecturio.com)
  • [3] About 15% of people with biliary colic eventually develop inflammation of the gallbladder if not treated. (wikipedia.org)
Occurs3
  • [4] Occasionally, acute cholecystitis occurs as a result of vasculitis or chemotherapy , or during recovery from major trauma or burns . (wikizero.com)
  • Gallstone formation occurs from the precipitation of crystals that aggregate to form stones. (wikipedia.org)
  • [3] Of those with gallstones, biliary colic occurs in 1 to 4% each year. (wikipedia.org)
Adults5
  • In developed countries, 10-15% of adults experience gallstones. (wikipedia.org)
  • About 10-15% of adults in the developed world have gallstones. (wikizero.com)
  • About 10-20% of American adults have gallstones . (amboss.com)
  • It is also defined as the hepatic factor interventions involving eating regimen, weight for metabolic syndrome and the most long- reduction and exercise which could decrease the established etiology for international chronic activity and biomarkers of NAFLD in adults. (egyptianjournal.xyz)
  • In the developed world , 10 to 15% of adults have gallstones. (wikipedia.org)
Bilirubin5
Biliary tree1
  • 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)
Cholecystectomy1
  • Cholecystectomy of the Pregnant Patient. (booksca.ca)
Stones8
Occur6
Symptomatic1
  • Pain from symptomatic gallstones may range from mild to severe and can steadily increase over a period lasting from 30 minutes to several hours. (wikipedia.org)
Bile duct1
Diagnosis2
Inflammatory3
  • 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)
  • Chronic abdominal pain Long-lasting intermittent or constant abdominal pain that is functional or organic (disease based) Functional abdominal pain Abdominal pain without demonstrable evidence of pathologic condition, such as anatomic metabolic, infectious, inflammatory or neoplastic disorder. (medicpresents.com)
  • It is of note that in the acute rheumatic episode, a large number of inflammatory cells such as neutrophils, monocytes/macrophages in addition to T and B lymphocytes are found [4, 5]. (fortunejournals.com)
Asymptomatic3
  • citation needed] Gallstones, regardless of size or number, are often asymptomatic. (wikipedia.org)
  • Surgery is not indicated in asymptomatic patients, except in some select groups (e.g. sickle cell disease). (learnsurgeryonline.com)
  • Patients are commonly asymptomatic but may present with biliary colic (intermittent pain in the right upper quadrant). (lecturio.com)
Commonly1
  • Gallstones most commonly consist of cholesterol but may be pigmented (due to hemolysis or infection) or mixed. (amboss.com)
Bowel1
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)
Obesity1
  • Non-alcoholic fatty liver sickness (NAFLD) is a variety of liver pathological conditions that intensely related to other chronic diseases including obesity and diabetes. (egyptianjournal.xyz)
Disease3
  • The patient may be flushed, jaundiced, dehydrated, tachycardic and hypotensive, all depending on the stage of gall stone disease continuum. (learnsurgeryonline.com)
  • 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)
Symptoms3
  • Gallstones may be suspected based on symptoms. (wikipedia.org)
  • [14] People who are old, have diabetes , chronic illness, or who are immunocompromised may have vague symptoms that may not include fever or localized tenderness. (wikizero.com)
  • Then when you add the contested issue of the patient telling the Nurse that he had "chills" and wanted to be seen, even Dr. Gabriel agreed "that had I known he was experiencing systemic symptoms (chills), or that he requested to be reexamined before his trip, I certainly would have arranged to re-examine him. (malpracticeexperts.com)
Outpatient2
  • In cases of mild, uncomplicated acute cholecystitis, outpatient treatment may be appropriate. (medscape.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)
Presence1
  • A characteristic symptom of a gallstone attack is the presence of colic-like pain in the upper-right side of the abdomen, often accompanied by nausea and vomiting. (wikipedia.org)
Surgery3
Components1
Lasts1
Common2
Abdominal pain3
  • CT scanning with intravenous (IV) contrast medium is useful in diagnosing acute cholecystitis in patients with nonspecific abdominal pain. (medscape.com)
  • Chronic abdominal pain can be organic or nonorganic, depending on whether a specific etiology is identified. (medicpresents.com)
  • Overlap between chronic and recurrent abdominal pain exists, and the terms are sometimes used synonymously. (medicpresents.com)
Diseases1
  • Gallbladder and biliary-related diseases occurred in about 104 million people (1.6% of people) in 2013 and resulted in 106,000 deaths. (wikipedia.org)
Attacks1
Pain2
  • A sharp increase in pain is felt as the inflamed gall bladder touches the examiner's hand: this can cause inspiratory arrest. (learnsurgeryonline.com)
  • The acute type usually presents with right upper quadrant (RUQ) pain, fever, and leukocytosis. (lecturio.com)
Risk1
  • The risk of gallstones may be decreased by maintaining a healthy weight with exercise and a healthy diet. (wikipedia.org)
Include2
  • The primary functions of the gallbladder include concentrating and storing up to 50 mL of bile. (lecturio.com)
  • 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)
Management4
Year2
Cases1
  • On physical examination, an inflamed gallbladder is almost always tender to the touch and palpable (~25-50% of cases) in the midclavicular right lower rib margin. (wikizero.com)
Formation1
  • Biliary stasis is a key component in gallstone formation. (amboss.com)