DIFFERENTIAL DIAGNOSIS
Among the conditions that need to be
considered are:
*
Perforation of peptic ulcer
*
Appendicitis
*
Myocardial ischemia
Investigations therefore may include:
*
X-ray abdomen
*
ECG
*
Hepatitis
*
Liver function test and haemogram
*
Serum bilirubin level
*
Oral cholecystography
*
Intravenous cholangiography
*
Ultrasound scan
TREATMENT
Non-operative management is directed
at creating functional rest
for
the gallbladder and
upper gastrointestinal tract
and
includes:
*
Restriction of fluid and
*
Continuous nasogastric suction
*
Pain is treated with small amounts of analgesics and
*
Use of antibiotics
If
early operation is performed, cholecystectomy, which can be
carried out
with a low mortality
rate sppes the
patient's
recovery.
Most
surgeons, however, prefer to
treat the acute phase with
antibiotics and
control the infection, cholecystectomy being
taken up after elimination of
infection (6-12 weeks)
Any questions be sent to drmmkapur@gmail.com
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