Cholecystitis
Cholecystitis is swelling and irritation (inflammation) of your gallbladder. Your gallbladder is a pear-shaped organ below your liver, on the right side of your belly (abdomen). Your gallbladder stores the fluid that helps your body digest fats (bile).
Most of the time, cholecystitis occurs suddenly (acute cholecystitis). This happens when a hard deposit (gallstone) develops and gets stuck in the tube (cystic duct) that carries bile from your gallbladder to your small intestine. Many people develop gallstones but do not develop cholecystitis. If the gallstone stays in place, inflammation and a backup of bile will make your gallbladder swollen and painful. Bacteria may also start to grow in your gallbladder and add to the inflammation.
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The pain may start in the central part of your belly and move to the right upper side. It may come and go at first (colic) but become constant over time. The pain may get worse when you take a deep breath. You may also feel it in your right shoulder or upper back. Other signs and symptoms of acute cholecystitis may include:
• Fever.
• Chills.
• Nausea and vomiting.
• Tenderness in your abdomen when touched or pressed.
• Yellow skin or eyes (jaundice).
DIAGNOSIS
Your health care provider may suspect cholecystitis from your symptoms and medical history. Your health care provider will also do a physical exam. The health care provider may also do tests to confirm the diagnosis. These may include:
• Imaging studies, such as ultrasound, CT, and MRI.
• A scan to see how well the bile moves from your liver to your gallbladder and small intestine. This is an HIDA (hepatobiliary iminodiacetic acid) scan.
• Blood tests to measure how well your liver works.
TREATMENT
The first treatment for acute cholecystitis is usually medical treatment in the hospital. This may include:
• Stopping eating and drinking.
• Getting IV fluids.
• Taking medications to control pain and
The gallbladder according to Dorland’s Medical Dictionary is ‘the pear shaped reservoir for the bile on the posteroinferior surface of the liver, between the right and the left quadrate lobe, from its neck the cystic duct projects to join the common bile duct’. The function of the gallbladder in the human body is to solve and concentrate bile, which is produced by the liver and is necessary for proper digestion of fats.
Strasberg SM (2008). "Acute Calculous Cholecystitis". New England Journal of Medicine 358 (26): 2804–2811. doi: 10.1056/NEJMcp0800929. PMID 18579815
They can be enumerated as difficult entry to the right hypochondrium owing to the adhesions, difficulty in exposure can also arise due to diseased gallbladder and Liver ,acutely inflamed and tense gallbladder ,gallbladder packed with stones ,thick walled gallbladder ,fibrotic gallbladder ,gallbladder mass and abnormality can also arise due to anomalous anatomy of hepatobiliary system like situs inversus, malposition of the gallbladder, arterial anomalies and short cystic duct, a huge stone impacted in the cystic duct, Hartmann’s pouch adherent to the common hepatic duct and anomalous insertion of the cystic duct.
Liver percusses to 8 cm at midclavicular line, one fingerbreadth below right costal margin: This indicates that the patient does not have signs or symptoms of liver disease or ascites.
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come along, this is when the bile is released to digest the fat. The same
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