ACUTE CHOLECYSTITIS
The majority of cases have obstruction
of the neck of gallbladder
accompanied by sepsis in gallbladder.
CLINICAL MANIFESTATIONS
An
attack of acute cholecystitis occurs in patients with a past
history of chronic cholecystitis and cholelithiasis
and present
between the fourth and eighth decade.
Onset of acute symptoms are usually
after a heavy, fatty or fried
meal.
*
Moderate to severe pain is experienced in the
right upper
quadrant or epigastrium.
*
It may radiate to the back near the angle of the scapula.
*
Tenderness is at the costal margin
*
Rebound tenderness may be present
or catch in the breath on
deep inspiration (Murphy sign).
*
Mild icterus suggests additional choledocholithiasis.
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