Tuesday, April 22, 2014

LIVER & BILLIARY TRACT 18 Chronic Cholecystitis



CHRONIC CHOLECYSTITIS

The presentation of this disorder occurs most often with  chronic
long  standing  inflammation of the gallbladder  associated  with
cholelithiasis.

CLINICAL MANIFESTATIONS

Patients  generally present with moderate intermittant  abdominal
pain in the right upper quadrant and epigastrium radiating to the
scapula or interscapula region.

*  There is an intolerance to fatty and fried foods and
*  Intermittant nausea and anorexia
*  Occasionally,  tenderness  is elicited over  the  gallbladder,
   usually maximal during inspiration

Diagnosis  by  an  oral cholecystogram  demonstrates  absence  of
filling of gallbladder or the presence of stones.

*  An ultrasound scan aids early diagnosis.

TREATMENT

Treatment  of chronic cholecystitis is  cholecystectomy,  results
are usually excellant.

Recently    surgeons    have   been    recommending    endoscopic
cholescystectomy for selected cases of cholecystitis.

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