From a chronic cholecystitis refers to a long-running gall bladder usually caused by gallstones.
(See also Overview biliary function.)
From a chronic cholecystitis refers to a long-running gall bladder usually caused by gallstones. (See also Overview biliary function.) The cause of chronic cholecystitis are almost always gallstones and previous episodes of acute cholecystitis, even if they were easy. The extent of the damage ranges from a subtle chronic inflammatory infiltrate up to a fibrotic, shrunken gallbladder. A completely calcified fibrosis due gallbladder is called porcelain gallbladder. Symptoms and complaints gallstones block the cystic duct temporarily and cause recurrent biliary colic. Such pain episodes are not necessarily accompanied by obvious cholecystitis; the extent of inflammation does not correlate with the intensity or frequency of the biliary colic. The upper abdomen may be pressure sensitive, but fever is not usually available. When fever is suspected of acute cholecystitis. Once occurred, the episodes recur in general. Diagnostic sonography The suspected chronic cholecystitis results in patients with recurrent biliary colic and gallstones. Ultrasound or other imaging technique shows gallstones and sometimes a shrunken, fibrotic gallbladder usually. The diagnosis is made in patients with a history of recurrent biliary colic and ultrasound detected gallstones. The Choleszintigraphie can show a non-presentation of the gallbladder, but is less accurate. Therapy Laparoscopic cholecystectomy to prevent recurrent symptoms and biliary complications is indicated laparoscopic cholecystectomy. This method is particularly suitable for the porcelain gallbladder, which is associated with the gall bladder carcinoma.