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Cholecystitis is inflammation of the gallbladder. [ 8 ] Symptoms include right upper abdominal pain, pain in the right shoulder, nausea, vomiting, and occasionally fever. [ 1 ] Often gallbladder attacks (biliary colic) precede acute cholecystitis. [ 1 ] The pain lasts longer in cholecystitis than in a typical gallbladder attack. [ 1 ]
Cholecystitis, inflammation of the gallbladder can occur in both acute and chronic cases. Ultrasound is the diagnostic test of choice by showing an increased gallbladder wall thickness. Additionally, in acute cases, a leukocytosis, an increase in white blood cell count, is found.
In medicine, Murphy's sign (also known as Sweeney’s sign) is a maneuver during a physical examination as part of the abdominal examination. [1] It is useful for differentiating pain in the right upper quadrant. Typically, it is positive in cholecystitis, but negative in choledocholithiasis, pyelonephritis, and ascending cholangitis.
Primary sclerosing cholangitis (PSC) is a long-term progressive disease of the liver and gallbladder characterized by inflammation and scarring of the bile ducts, which normally allow bile to drain from the gallbladder. Affected individuals may have no symptoms or may experience signs and symptoms of liver disease, such as yellow discoloration ...
Ultrasound may show dilation of the bile duct and identifies 38% of bile duct stones; it is relatively poor at identifying stones farther down the bile duct. Ultrasound can help distinguish between cholangitis and cholecystitis (inflammation of the gallbladder), which has similar symptoms to cholangitis but appears differently on ultrasound. [14]
Inflammation of the gallbladder, inflammation of the pancreas, liver inflammation [2] [4] Usual onset: After 40 years old [2] Risk factors: Birth control pills, pregnancy, family history, obesity, diabetes, liver disease, rapid weight loss [2] Diagnostic method: Based on symptoms, confirmed by ultrasound [2] [4] Prevention
The presence of gallstones, usually visualized by ultrasound, generally necessitates a surgical treatment (removal of the gall bladder, typically via laparoscopy). [ 26 ] Removal of the gallbladder with surgery, known as a cholecystectomy , is the definitive surgical treatment for biliary colic.
Courvoisier's principle (known as Courvoisier's sign or Courvoisier–Terrier's sign, or Courvoisier syndrome) states that a painless palpably enlarged gallbladder accompanied with mild jaundice is unlikely to be caused by gallstones. Usually, the term is used to describe the physical examination finding of the right-upper quadrant of the abdomen.