Cholecystitis overview: Difference between revisions
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Chronic cholecystitis manifests with non-specific symptoms such as [[nausea]], vague [[abdominal pain]], [[belching]], and [[diarrhea]]. | Chronic cholecystitis manifests with non-specific symptoms such as [[nausea]], vague [[abdominal pain]], [[belching]], and [[diarrhea]]. | ||
===Physical Examination=== | |||
Cholecystitis is usually diagnosed by a history of the above symptoms, as well examination findings like [[fever]] (usually low grade in uncomplicated cases) and [[tender right upper quadrant]] +/- [[Murphy's sign]]. Subsequent laboratory and imaging tests are used to confirm the diagnosis and exclude other possible causes. | |||
==References== | ==References== | ||
Revision as of 00:03, 3 February 2013
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Cholecystitis is inflammation of the gall bladder.
Historical Perspective
Xanthogranulomatous cholecystitis (XGC) is a rare form of gall bladder disease which mimics gallbladder cancer although it is not cancerous. It was first discovered and reported in the medical literature in 1976 by J.J. McCoy, Jr., and colleagues.[1]. Eosinophilic cholecystitis was first described in 1949.[2].
Diagnosis
History and Symptoms
Cholecystitis usually presents as a pain in the right upper quadrant. This is usually a constant, severe pain. The pain may be felt to 'refer' to the right flank or right scapular region at first. This is usually accompanied by a low grade fever, vomiting and nausea. More severe symptoms such as high fever, shock and jaundice indicate the development of complications such as abscess formation, perforation or ascending cholangitis. Another complication, gallstone ileus, occurs if the gallbladder perforates and forms a fistula with the nearby small bowel, leading to symptoms of intestinal obstruction.
Chronic cholecystitis manifests with non-specific symptoms such as nausea, vague abdominal pain, belching, and diarrhea.
Physical Examination
Cholecystitis is usually diagnosed by a history of the above symptoms, as well examination findings like fever (usually low grade in uncomplicated cases) and tender right upper quadrant +/- Murphy's sign. Subsequent laboratory and imaging tests are used to confirm the diagnosis and exclude other possible causes.
References
- ↑ Makino I, Yamaguchi T, Sato N, Yasui T, Kita I (2009). "Xanthogranulomatous cholecystitis mimicking gallbladder carcinoma with a false-positive result on fluorodeoxyglucose PET". World Journal of Gastroenterology : WJG. 15 (29): 3691–3. PMC 2721248. PMID 19653352. Retrieved 2012-08-20. Unknown parameter
|month=ignored (help) - ↑ Dabbs DJ (1993). "Eosinophilic and lymphoeosinophilic cholecystitis". The American Journal of Surgical Pathology. 17 (5): 497–501. PMID 8470764. Unknown parameter
|month=ignored (help);|access-date=requires|url=(help)