Acute Calculous Cholecystitis

Acute cholecystitis is the inflammation of the gallbladder following persistent obstruction of the neck of the gallbladder or cystic duct by a gallstone. The gallbladder wall becomes edematous and thickened (>4 mm) due to mucosal ischemia, impaired venous return, and subsequent release of platelet activating factor as well as leukotrienes C4 and prostaglandins. Part of the disease course is a secondary bacterial invasion of the gallbladder wall with subsequent fever and leukocytosis. Patients present with right upper quadrant pain, along with nausea and vomiting, which gradually worsens. Laboratory tests usually show only mild elevation of bilirubin levels and alkaline phosphatase, indicating biliary tree obstruction. The obstruction is usually transient; as intracholecystic pressure rises the stone is dislodged. Symptoms are then relieved and inflammation resolves. In approximately 10% of patients, the disease course is characterized by the development of complications such as empyema, perforation with resultant peritonitis, and fistulization leading to gallstone ileus.

Get Rid of Gallstones Naturally

Get Rid of Gallstones Naturally

One of the main home remedies that you need to follow to prevent gallstones is a healthy lifestyle. You need to maintain a healthy body weight to prevent gallstones. The following are the best home remedies that will help you to treat and prevent gallstones.

Get My Free Ebook

Post a comment