Cholecystitis: Causes, Symptoms And Treatment
Cholecystitis is one of the most common gastrointestinal complications, especially in middle-aged people and older. If cholecystitis is not treated in time, it will lead to serious consequences and most have cholecystectomy.
What is cholecystitis?
Your gallbladder is a small pear-shaped organ on the right side of the abdomen, below the liver. The gallbladder contains the liquid bile secreted from the liver, which enters the small intestine, which plays a role in dissolving fat to help digest food.
Cholecystitis is an infection of the gallbladder. If left untreated, it can lead to gallbladder perforation.
Symptoms of cholecystitis
Cholecystitis has 2 forms:
Acute inflammation (sudden occurrence):
Severe pain in the upper right abdomen;
Pain in the right shoulder or back;
In severe cases, the perforation of the gallbladder overflows the bile into the abdomen, causing intense pain and life-threatening need for immediate emergency;
In addition, there may be nausea, vomiting, fever.
Chronic cholecystitis (inflammation many times over a few months, years):
Pain in the upper right abdomen;
Mid-abdominal pain when touched
Symptoms of cholecystitis often occur most strongly and after eating, the bile must contract to expel bile into the small intestine to help digest food.
Right flank pain is a symptom of gallbladder pain that may be due to inflammation
Causes of cholecystitis
Cholecystitis may be caused by:
Typically, cholecystitis is the result of hard particles that develop in the gallbladder to form stones called gallstones. Gallstones block the passageway and clog the bile, causing the bile to build up causing inflammation.
AIDS and some viral infections can trigger cholecystitis.
The tumor may compress, preventing bile from escaping from the gallbladder, causing bile buildup to lead to cholecystitis.
Certain vascular problems that reduce blood flow to the gallbladder can also lead to cholecystitis.
Obstruction of the bile duct due to scarring on the bile duct can also lead to cholecystitis.
Subjects at risk of cholecystitis
The following subjects are at higher risk for cholecystitis than the average person:
People of middle age or older;
People who eat a lot of fat, suffer from obesity;
People often fasting, stomach - intestines often empty;
Side effects from some special medicines;
Pregnant women are also at higher risk than normal women
Pregnant women are at a higher risk for cholecystitis
Is cholecystitis dangerous?
If cholecystitis is not treated promptly, it can lead to some serious complications such as:
Infection in the gallbladder: If bile accumulation causes inflammation of the gallbladder, the bile can become infected;
Gallbladder gangrene: Untreated gallbladder inflammation can cause the gallbladder tissue to become damaged.
It is the most common complication especially in the elderly, people with diabetes;
Perforation of the gallbladder due to swelling of the gallbladder, infection or necrosis;
Diagnosis of cholecystitis
Blood tests help detect if the gallbladder has an infection.
Normally, a high white blood cell count is an indication of infection.
Perform biochemical blood can also evaluate kidney function, liver.
Abdominal ultrasound to assess cholecystitis
Ultrasound uses sound waves to create images of the gallbladder and bile ducts. It is used to identify the signs of inflammation related to the gallbladder and can help show gallstones clearly on the ultrasound device screen.
Radiography of the gallbladder
An injection of contrast material followed by a chest x-ray helps to assess the disorders of the liver, gallbladder and bile duct.
In acute cholecystitis, it can detect bile duct obstruction.
Computerized tomography (CT) scan uses X-rays to create detailed images of the abdomen, liver, gallbladder, bile duct and intestines to help identify gallbladder inflammation or blockage of bile flow or sometimes it is also possible. detect gallstones.
Magnetic resonance imaging
Magnetic resonance imaging (MRCP) produces detailed images of the liver, gallbladder, bile duct, pancreas and pancreas.
This is a method that helps detect gallstones, cholecystitis or cholangitis or bile flow obstruction.
Ultrasound is a diagnostic method of cholecystitis
Treatment of cholecystitis
Internally medical treatment
Use pain medication;
Use antibiotics to treat infections;
Diet: reduce fat, split meals and eat small amounts to reduce pressure on the bile.
Endoscopic surgery to remove the gallbladder while the patient is under anesthesia;
Open surgery by making a cut in the abdomen and removing the gallbladder while the patient is under anesthesia.
If surgery cannot be performed, the patient may be advised to perform the following if the bile is blocked due to stones:
Endoscopic retrograde cholangiopancreas (ERCP;
Percutaneous cholangiography (PTC) ./.
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