Table of Contents
What is Calculous cholecystitis?
Calculous cholecystitis develops when the main opening to the gallbladder, the cystic duct, gets blocked by a gallstone or a substance known as biliary sludge. Biliary sludge is a mixture of bile, a liquid produced by the liver that helps digest fats, and small cholesterol and salt crystals.
What is the gold standard test for cholecystitis?
Biliary scintigraphy (hydroxyiminodiacetic acid (HIDA) scan) is the gold standard investigation when the diagnosis remains in doubt after ultrasound scanning.
How is calculous cholecystitis treated?
Cholecystectomy is the mainstay of treatment for acute calculous cholecystitis.
What is the difference between calculous and acalculous cholecystitis?
Acalculous cholecystitis has a slight male predominance, unlike calculous cholecystitis, which has a female predominance. The condition can occur in persons of any age, although a higher frequency is reported in persons in their fourth and eighth decades of life.
What causes Xanthogranulomatous pyelonephritis?
Xanthogranulomatous pyelonephritis is a chronic inflammatory condition that is caused by pyogenic infection of the kidney, usually secondary to staghorn calculi (70% of cases), most commonly by Proteus or E. coli.
What is the prognosis of cholecystitis?
Complications from acute cholecystitis occur in around 20% of patients. Complicated acute cholecystitis is associated with a mortality rate of around 25%. 33 Perforation of the gallbladder, which occurs in 3% to 15% of patients with cholecystitis, has a 60% mortality rate. 34 Acute acalculous cholecystitis has a mortality rate of around 30%. 35
Which ultrasound findings are diagnostic of cholecystitis?
major criteria gallstones thickened gallbladder wall pericholecystic fluid collections subserosal edema
What foods should I avoid with cholecystitis?
Gallbladder Function. Your gallbladder stores and concentrates bile,which is produced by your liver.
What are the methods helping diagnose chronic cholecystitis?
The CT scan uses X-rays to produce very detailed pictures of your abdomen.