Inflammation of the GALLBLADDER; generally caused by impairment of BILE flow, GALLSTONES in the BILIARY TRACT, infections, or other diseases.
Acute inflammation of the GALLBLADDER wall. It is characterized by the presence of ABDOMINAL PAIN; FEVER; and LEUKOCYTOSIS. Gallstone obstruction of the CYSTIC DUCT is present in approximately 90% of the cases.
Inflammation of the GALLBLADDER wall in the absence of GALLSTONES.
A storage reservoir for BILE secretion. Gallbladder allows the delivery of bile acids at a high concentration and in a controlled manner, via the CYSTIC DUCT to the DUODENUM, for degradation of dietary lipid.
A variant of acute cholecystitis with inflammation of the GALLBLADDER that is characterized by the pockets of gas in the gallbladder wall. It is due to secondary infection caused by gas-forming organisms, and has a high risk of perforation.
Surgical removal of the GALLBLADDER.
Establishment of an opening into the gallbladder either for drainage or surgical communication with another part of the digestive tract, usually the duodenum or jejunum.
Excision of the gallbladder through an abdominal incision using a laparoscope.
Imino acids are organic compounds containing a nitrogen atom in their structure, classified as derivatives of amino acids, where the carbon atom adjacent to the carboxyl group is bonded to a nitrogen atom instead of a hydrogen atom, forming a characteristic imino functional group.
Radiography of the gallbladder after ingestion of a contrast medium.
Diseases of the GALLBLADDER. They generally involve the impairment of BILE flow, GALLSTONES in the BILIARY TRACT, infections, neoplasms, or other diseases.
I'm sorry for any confusion, but "Tokyo" is not a medical term that has a specific definition in the field of medicine. Tokyo is actually the capital city of Japan and is not used as a term in medicine.
Tumors or cancer of the gallbladder.
A radiopharmaceutical used extensively in cholescintigraphy for the evaluation of hepatobiliary diseases. (From Int Jrnl Rad Appl Inst 1992;43(9):1061-4)
Presence or formation of GALLSTONES in the BILIARY TRACT, usually in the gallbladder (CHOLECYSTOLITHIASIS) or the common bile duct (CHOLEDOCHOLITHIASIS).
A condition marked by the development of widespread xanthomas, yellow tumor-like structures filled with lipid deposits. Xanthomas can be found in a variety of tissues including the SKIN; TENDONS; joints of KNEES and ELBOWS. Xanthomatosis is associated with disturbance of LIPID METABOLISM and formation of FOAM CELLS.
Presence or formation of GALLSTONES in the GALLBLADDER.
Solid crystalline precipitates in the BILIARY TRACT, usually formed in the GALLBLADDER, resulting in the condition of CHOLELITHIASIS. Gallstones, derived from the BILE, consist mainly of calcium, cholesterol, or bilirubin.
Death and putrefaction of tissue usually due to a loss of blood supply.
Inflammation of the biliary ductal system (BILE DUCTS); intrahepatic, extrahepatic, or both.
Disease having a short and relatively severe course.
The duct that is connected to the GALLBLADDER and allows the emptying of bile into the COMMON BILE DUCT.
Hemorrhage in or through the BILIARY TRACT due to trauma, inflammation, CHOLELITHIASIS, vascular disease, or neoplasms.
Diseases in any part of the BILIARY TRACT including the BILE DUCTS and the GALLBLADDER.
A nontoxic radiopharmaceutical that is used in RADIONUCLIDE IMAGING for the clinical evaluation of hepatobiliary disorders in humans.
Changing an operative procedure from an endoscopic surgical procedure to an open approach during the INTRAOPERATIVE PERIOD.
Non-invasive diagnostic technique for visualizing the PANCREATIC DUCTS and BILE DUCTS without the use of injected CONTRAST MEDIA or x-ray. MRI scans provide excellent sensitivity for duct dilatation, biliary stricture, and intraductal abnormalities.
A motility disorder characterized by biliary COLIC, absence of GALLSTONES, and an abnormal GALLBLADDER ejection fraction. It is caused by gallbladder dyskinesia and/or SPHINCTER OF ODDI DYSFUNCTION.
Presence or formation of GALLSTONES in the COMMON BILE DUCT.
A relatively small nodular inflammatory lesion containing grouped mononuclear phagocytes, caused by infectious and noninfectious agents.
Organic compounds that contain technetium as an integral part of the molecule. These compounds are often used as radionuclide imaging agents.
An imaging test of the BILIARY TRACT in which a contrast dye (RADIOPAQUE MEDIA) is injected into the BILE DUCT and x-ray pictures are taken.
Abnormal passage in any organ of the biliary tract or between biliary organs and other organs.
A process whereby bile is delivered from the gallbladder into the duodenum. The emptying is caused by both contraction of the gallbladder and relaxation of the sphincter mechanism at the choledochal terminus.
The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.
Fiberoptic endoscopy designed for duodenal observation and cannulation of VATER'S AMPULLA, in order to visualize the pancreatic and biliary duct system by retrograde injection of contrast media. Endoscopic (Vater) papillotomy (SPHINCTEROTOMY, ENDOSCOPIC) may be performed during this procedure.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
A clinical syndrome with intermittent abdominal pain characterized by sudden onset and cessation that is commonly seen in infants. It is usually associated with obstruction of the INTESTINES; of the CYSTIC DUCT; or of the URINARY TRACT.
Tear or break of an organ, vessel or other soft part of the body, occurring in the absence of external force.
Sensation of discomfort, distress, or agony in the abdominal region.
The largest bile duct. It is formed by the junction of the CYSTIC DUCT and the COMMON HEPATIC DUCT.
Solitary or multiple collections of PUS within the liver as a result of infection by bacteria, protozoa, or other agents.
Endoscopic examination, therapy or surgery of the digestive tract.
A mass of histologically normal tissue present in an abnormal location.

Right bundle branch block and coved-type ST-segment elevation mimicked by acute cholecystitis. (1/109)

A 69-year-old woman had acute cholecystitis that mimicked right bundle branch block with coved-type ST-segment elevation in the precordial electrocardiogram leads (Brugada-type ST shift). The patient did not have obvious heart disease, syncope, or a family history of sudden death. The coved-type ST-segment elevation disappeared as the acute inflammation subsided. Intravenous administration of pilsicainide, a pure sodium channel blocker, could reproduce the Brugada-type ST shift. This is the first report of the Brugada-type ST shift occurring in association with acute cholecystitis.  (+info)

Clinical predictors of severe gallbladder complications in acute acalculous cholecystitis. (2/109)

AIM: To evaluate the relationship between clinical information (including age, laboratory data, and sonographic findings) and severe complications, such as gangrene, perforation, or abscess, in patients with acute acalculous cholecystitis (AAC). METHODS: The medical records of patients hospitalized from January 1997 to December 2002 with a diagnosis of acute cholecystitis were retrospectively reviewed to find those with AAC, confirmed at operation or by histologic examination. Data collected included age, sex, white blood cell count, AST, total bilirubin, alkaline phosphatase, bacteriology, mortality, and sonographic findings. The sonographic findings were recorded on a 3-point scale with 1 point each for gallbladder distention, gallbladder wall thickness >3.5 mm, and sludge. The patients were divided into 2 groups based on the presence (group A) or absence (group B) of severe gallbladder complications, defined as perforation, gangrene, or abscess. RESULTS: There were 52 cases of AAC, accounting for 3.7% of all cases of acute cholecystitis. Males predominated. Most patients were diagnosed by ultrasonography (48 of 52) or computed tomography (17 of 52). Severe gallbladder complications were present in 27 patients (52%, group A) and absent in 25 (group B). Six patients died with a mortality of 12%. Four of the 6 who died were in group A. Patients in group A were significantly older than those in group B (mean 60.88 y vs. 54.12 y, P=0.04) and had a significantly higher white blood cell count (mean 15,885.19 vs. 9,948.40, P=0.0005). All the 6 patients who died had normal white blood cell counts with an elevated percentage of band forms. The most commonly cultured bacteria in both blood and bile were E. coli and Klebsiella pneumoniae. The cumulative sonographic points did not reliably distinguish between groups A and B, even though group A tended to have more points. CONCLUSION: Older patients with a high white cell count are more likely to have severe gallbladder complications. In these patients, earlier surgical intervention should be considered if the sonographic findings support the diagnosis of AAC.  (+info)

Acute cholecystitis and severe ischemic cardiac disease: is laparoscopy indicated? (3/109)

BACKGROUND AND OBJECTIVES: Laparoscopy in patients with poor cardiac function has been the subject of controversy and is considered by many surgeons a relative contraindication. METHODS: We report the case of a patient who presented with acute cholecystitis and choledocholithiasis concurrent with unstable angina. Our experience in laparoscopic management of patients with calculous biliary disease and severe coronary artery disease is examined. RESULTS: The patient was managed by coronary angioplasty and stenting immediately followed by laparoscopic cholecystectomy and common bile duct exploration under close invasive hemodynamic monitoring and low-pressure pneumoperitoneum. Between 1996 and 2001, 39 patients with coronary artery disease and an ASA class of III or IV underwent laparoscopic cholecystectomy. Eight of these patients (20.5%) had common bile duct stones necessitating laparoscopic common bile duct exploration. No conversions were necessary, and no major morbidity or mortalities occurred. CONCLUSIONS: Laparoscopic cholecystectomy and common bile duct exploration can be safely performed in patients with severe ischemic cardiac disease under close hemodynamic monitoring and a low-pressure pneumoperitoneum (10 to 12 mm Hg).  (+info)

Percutaneous cholecystostomy for the treatment of acute cholecystitis in the critically ill and elderly. (4/109)

OBJECTIVE: To evaluate the clinical efficacy and outcomes of percutaneous cholecystostomy as an alternative treatment option for elderly and critically ill patients who have acute cholecystitis. PATIENTS AND METHODS: The medical records of patients who underwent emergency percutaneous cholecystostomy at the North District Hospital, Hong Kong from September 1999 to July 2002 were reviewed. Indications for the procedure, patient demographics, and other clinical details were recorded. RESULTS: A total of 25 patients (10 male, 15 female) with a median age of 81 years (range, 39-97 years) presented with acute cholecystitis and underwent percutaneous cholecystostomy with ultrasound guidance. Two patients required emergency cholecystectomy on day 1 after the procedures because of deteriorating conditions. The rest of the patients clinically improved after drainage. There was no major periprocedural complication, and four patients had their catheter accidentally dislodged but did not require re-insertion. There were five in-patient mortalities, although the majority of these deaths were from unrelated illness. Subsequently, only six patients underwent elective cholecystectomy, one open and five laparoscopic. Two patients were offered percutaneous endoscopic cholecystolithotripsy, one defaulted and the other could not tolerate the procedure. Eleven patients declined further intervention due to the high surgical risks, three of these patients developed biliary symptoms, one had acute cholecystitis, and the other two had cholangitis. The rest of patients had no symptoms related to the gallstones. The median follow-up period was 81 weeks (range, 27-162 weeks). CONCLUSION: Percutaneous cholecystostomy is a viable treatment option for elderly and critically ill patients presenting with acute cholecystitis. It has a high success rate with minimal procedure-related complications. Elective cholecystostomy is the treatment of choice for low-risk patients after the initial acute cholecystitis.  (+info)

Gangrenous cholecystitis in the decade before and after the introduction of laparoscopic cholecystectomy. (5/109)

BACKGROUND: Gangrenous cholecystitis is a severe form of acute cholecystitis with high morbidity. This study investigate the outcomes for patients undergoing cholecystectomy for gangrenous cholecystitis in the decade before and after the introduction of laparoscopic technology at our institution. METHODS: From 1982 to 2002, all patients undergoing cholecystectomy for gangrenous cholecystitis were prospectively entered into a database. Demographic data, method of surgery, and outcome variables were assessed and compared over time. RESULTS: Cholecystectomy was performed to treat gangrenous cholecystitis in 238 patients (mean age, 54 years). From 1982 to 1992, 98 patients underwent cholecystectomy for gangrenous cholecystitis, and from 1992 to 2002, 140 patients underwent the procedure. Ninety-seven patients underwent laparoscopic cholecystectomy, and 33 patients (34%) required conversion. The open and laparoscopic cholecystectomy group differed in the number of intensive care unit admissions (13% vs. 5%, P < 0.05), overall length of hospital stay (10 vs. 5.7 days, P < 0.001) and rate of intraabdominal abscesses (8% vs. 0.7%). CONCLUSION: Gangrenous cholecystitis remains a disease with high morbidity. Laparoscopic cholecystectomy shortened hospital stay and can be offered without increasing morbidity. Methods to decrease intraabdominal abscess formation in patients undergoing laparoscopic cholecystectomy for gangrenous cholecystitis are needed.  (+info)

Laparoscopic derotation and cholecystectomy for torsion gallbladder. (6/109)

Torsion of the gallbladder is an unusual cause of gangrenous cholecystitis. Even with the advent of recent radiological imaging modalities, the preoperative diagnosis of this entity remains elusive. Herein, we present a case of gallbladder torsion in a 76-year-old lady who successfully underwent laparoscopic derotation and cholecystectomy.  (+info)

Risk factors of acute cholecystitis after endoscopic common bile duct stone removal. (7/109)

AIM: To evaluate the risk factors of acute cholecystitis after endoscopic common bile duct (CBD) stone removal. METHODS: A total 100 of patients who underwent endoscopic CBD stone removal with gallbladder (GB) in situ without subsequent cholecystectomy from January 2000 to July 2004 were evaluated retrospectively. The following factors were considered while evaluating risk factors for the development of acute cholecystitis: age, gender, serum bilirubin level, GB wall thickening, cystic duct patency, presence of a GB stone, CBD diameter, residual stone, lithotripsy, juxtapapillary diverticulum, presence of liver cirrhosis or diabetes mellitus, a presenting illness of cholangitis or pancreatitis, and procedure-related complications. RESULTS: During a mean 18-mo follow-up, 28 (28%) patients developed biliary symptoms; 17 (17%) acute cholecystitis and 13 (13%) CBD stone recurrence. Of patients with acute cholecystitis, 15 (88.2%) received laparoscopic cholecystectomy and 2 (11.8%) open cholecystectomy. All recurrent CBD stones were successfully removed endoscopically. The mean time elapse to acute cholecystitis was 10.2 mo (1-37 mo) and that to recurrent CBD stone was 18.4 mo. Of the 17 patients who received cholecystectomy, 2 (11.8%) developed recurrent CBD stones after cholecystectomy. By multivariate analysis, a serum total bilirubin level of <1.3 mg/dL and a CBD diameter of <11 mm at the time of stone removal were found to predict the development of acute cholecystitis. CONCLUSION: After CBD stone removal, there is no need for routine prophylactic cholecystectomy. However, patients without a dilated bile duct (<11 mm) and jaundice (<1.3 mg/dL) at the time of CBD stone removal have a higher risk of acute cholecystitis and are possible candidates for prophylactic cholecystectomy.  (+info)

Open cholecystectomy for all patients in the era of laparoscopic surgery - a prospective cohort study. (8/109)

BACKGROUND: Open cholecystectomy through a small incision is an alternative to laparoscopic cholecystectomy. METHODS: From 1 January 2002 through 31 December 2003, all operations upon the gallbladder in a district hospital with emergency admission and responsibility for surgical training were done as intended small-incision open cholecystectomy. RESULTS: 182 women and 90 men with a median age of 56 (interquartile range 45 to 68 years) underwent cholecystectomy for symptomatic gallbladder disease, 170 as elective and 102 as emergency cases. Trainee surgeons assisted by consultants or registrars having passed an examination for open cholecystectomy performed surgery in 194 cases (71%). The common bile duct was explored in 52 patients. Total postoperative morbidity was six percent. Median postoperative stay was one day and mean total (pre- and postoperative) hospital stay 3.1 days. 32 operations (12%) were done as day surgery procedures. Nationally in Sweden in 2002, mean total hospital stay was 4.4 days, and 13% of all cholecystectomies were performed on an outpatient basis. CONCLUSION: Open, small-incision cholecystectomy for all patients is compatible with short hospital stay, evidence-based gall-bladder surgery, and training of surgical residents.  (+info)

Cholecystitis is a medical condition characterized by inflammation of the gallbladder, a small pear-shaped organ located under the liver that stores and concentrates bile produced by the liver. Bile is a digestive fluid that helps break down fats in the small intestine during digestion.

Acute cholecystitis is a sudden inflammation of the gallbladder, often caused by the presence of gallstones that block the cystic duct, the tube that carries bile from the gallbladder to the common bile duct. This blockage can cause bile to build up in the gallbladder, leading to inflammation, swelling, and pain.

Chronic cholecystitis is a long-term inflammation of the gallbladder, often caused by repeated attacks of acute cholecystitis or the presence of gallstones that cause ongoing irritation and damage to the gallbladder wall. Over time, chronic cholecystitis can lead to thickening and scarring of the gallbladder wall, which can reduce its ability to function properly.

Symptoms of cholecystitis may include sudden and severe abdominal pain, often in the upper right or center of the abdomen, that may worsen after eating fatty foods; fever; nausea and vomiting; bloating and gas; and clay-colored stools. Treatment for cholecystitis typically involves antibiotics to treat any infection present, pain relief, and surgery to remove the gallbladder (cholecystectomy). In some cases, a nonsurgical procedure called endoscopic retrograde cholangiopancreatography (ERCP) may be used to remove gallstones from the bile duct.

Acute cholecystitis is a medical condition characterized by inflammation of the gallbladder (cholecystitis) that develops suddenly (acute). The gallbladder is a small pear-shaped organ located in the upper right part of the abdomen, beneath the liver. It stores bile, a digestive juice produced by the liver, which helps break down fats in the food we eat.

Acute cholecystitis occurs when the gallbladder becomes inflamed and irritated, often due to the presence of gallstones that block the cystic duct, the tube that carries bile from the gallbladder into the small intestine. When the cystic duct is obstructed, bile builds up in the gallbladder, causing it to become swollen, inflamed, and infected.

Symptoms of acute cholecystitis may include sudden and severe abdominal pain, often located in the upper right or middle part of the abdomen, that may radiate to the back or shoulder blade area. Other symptoms may include fever, nausea, vomiting, loss of appetite, and abdominal tenderness or swelling.

Acute cholecystitis is typically diagnosed through a combination of medical history, physical examination, laboratory tests, and imaging studies such as ultrasound or CT scan. Treatment may involve hospitalization, antibiotics to treat infection, pain relief medications, and surgery to remove the gallbladder (cholecystectomy). In some cases, nonsurgical treatments such as endoscopic sphincterotomy or percutaneous cholecystostomy may be used to relieve obstruction and inflammation.

Acalculous cholecystitis is a form of inflammation of the gallbladder that occurs in the absence of gallstones, which are commonly associated with gallbladder inflammation. It mainly affects critically ill or debilitated patients and can be caused by various factors such as bacterial or viral infection, reduced blood flow to the gallbladder, and injury to the bile ducts.

The symptoms of acalculous cholecystitis may include abdominal pain, fever, nausea, vomiting, and jaundice. The diagnosis is often made through imaging tests such as ultrasound or CT scan, which may show gallbladder wall thickening, fluid accumulation around the gallbladder, and other signs of inflammation.

Treatment typically involves antibiotics to manage infection, intravenous fluids, and pain management. In severe cases, cholecystectomy (surgical removal of the gallbladder) may be necessary. If left untreated, acalculous cholecystitis can lead to serious complications such as gangrene, perforation of the gallbladder, and sepsis.

The gallbladder is a small, pear-shaped organ located just under the liver in the right upper quadrant of the abdomen. Its primary function is to store and concentrate bile, a digestive enzyme produced by the liver, which helps in the breakdown of fats during the digestion process. When food, particularly fatty foods, enter the stomach and small intestine, the gallbladder contracts and releases bile through the common bile duct into the duodenum, the first part of the small intestine, to aid in fat digestion.

The gallbladder is made up of three main parts: the fundus, body, and neck. It has a muscular wall that allows it to contract and release bile. Gallstones, an inflammation of the gallbladder (cholecystitis), or other gallbladder diseases can cause pain, discomfort, and potentially serious health complications if left untreated.

Emphysematous cholecystitis is a type of acute inflammation of the gallbladder, characterized by the presence of gas within the wall and/or lumen of the gallbladder. It is a severe and potentially life-threatening condition, which typically occurs in patients with diabetes or other underlying medical conditions that compromise their immune system.

The gas that accumulates in the gallbladder in emphysematous cholecystitis can come from several sources, including gas-forming bacteria such as Clostridium perfringens and Escherichia coli. These bacteria produce gas as a byproduct of their metabolism, which can lead to the formation of gas bubbles within the gallbladder.

The symptoms of emphysematous cholecystitis are similar to those of other forms of acute cholecystitis and may include abdominal pain, fever, nausea, vomiting, and decreased appetite. However, the presence of gas within the gallbladder can be detected on imaging studies such as X-rays or computed tomography (CT) scans, which can help to confirm the diagnosis.

Treatment of emphysematous cholecystitis typically involves surgical removal of the gallbladder (cholecystectomy), often through a laparoscopic approach. Antibiotic therapy is also administered to treat any underlying bacterial infection. In severe cases, where the patient's condition is too unstable for surgery, percutaneous drainage of the gallbladder may be performed as a temporary measure to help reduce the risk of complications such as gangrene or perforation.

Cholecystectomy is a medical procedure to remove the gallbladder, a small pear-shaped organ located on the right side of the abdomen, just beneath the liver. The primary function of the gallbladder is to store and concentrate bile, a digestive fluid produced by the liver. During a cholecystectomy, the surgeon removes the gallbladder, usually due to the presence of gallstones or inflammation that can cause pain, infection, or other complications.

There are two primary methods for performing a cholecystectomy:

1. Open Cholecystectomy: In this traditional surgical approach, the surgeon makes an incision in the abdomen to access and remove the gallbladder. This method is typically used when there are complications or unique circumstances that make laparoscopic surgery difficult or risky.
2. Laparoscopic Cholecystectomy: This is a minimally invasive surgical procedure where the surgeon makes several small incisions in the abdomen, through which a thin tube with a camera (laparoscope) and specialized surgical instruments are inserted. The surgeon then guides these tools to remove the gallbladder while viewing the internal structures on a video monitor.

After the gallbladder is removed, bile flows directly from the liver into the small intestine through the common bile duct, and the body continues to function normally without any significant issues.

Cholecystostomy is a medical procedure that involves the creation of an opening or fistula between the gallbladder and the stomach or the skin surface to drain bile from the gallbladder. This procedure is typically performed when there is an obstruction in the cystic duct or common bile duct, leading to inflammation or infection of the gallbladder (cholecystitis).

There are two types of cholecystostomy: percutaneous and open. Percutaneous cholecystostomy is a minimally invasive procedure that involves inserting a small tube through the skin and into the gallbladder under the guidance of imaging techniques such as ultrasound or CT scan. Open cholecystostomy, on the other hand, requires an open surgical incision to access the gallbladder and create the fistula.

Cholecystostomy is usually a temporary measure to manage acute cholecystitis in high-risk patients who are not suitable candidates for surgery or until they become stable enough to undergo a more definitive treatment, such as cholecystectomy (surgical removal of the gallbladder).

Laparoscopic cholecystectomy is a surgical procedure to remove the gallbladder using a laparoscope, a thin tube with a camera, which allows the surgeon to view the internal structures on a video monitor. The surgery is performed through several small incisions in the abdomen, rather than a single large incision used in open cholecystectomy. This approach results in less postoperative pain, fewer complications, and shorter recovery time compared to open cholecystectomy.

The procedure is typically indicated for symptomatic gallstones or chronic inflammation of the gallbladder (cholecystitis), which can cause severe abdominal pain, nausea, vomiting, and fever. Laparoscopic cholecystectomy has become the standard of care for gallbladder removal due to its minimally invasive nature and excellent outcomes.

Imino acids are organic compounds that contain a nitrogen atom as part of an amide-like structure. They are structurally similar to amino acids, which contain a carboxyl group and an amino group, but instead of the amino group, imino acids have a structural unit known as an imine or Schiff base, which is a carbon-nitrogen double bond with a hydrogen atom attached to the nitrogen atom.

One example of an imino acid is proline, which is a cyclic imino acid that plays important roles in protein structure and function. Proline is unique among the 20 standard amino acids because its side chain is linked to the nitrogen atom of the backbone, forming a ring-like structure. This structural feature gives proline unique properties, such as restricted rotation around the bond between the nitrogen and alpha carbon atoms, which can affect protein folding and stability.

Other imino acids may be formed through chemical reactions or enzymatic processes, and they can play important roles in various biological pathways, including the biosynthesis of amino acids, nucleotides, and other biomolecules. However, imino acids are not typically considered to be part of the standard set of 20 amino acids that make up proteins.

Cholecystography is a medical procedure that involves the use of X-rays to examine the gallbladder and bile ducts. It is also known as an oral cholecystogram (OCG).

The procedure involves administering a contrast agent, typically a iodine-based dye, which is absorbed by the liver and excreted into the bile ducts and gallbladder. The dye makes the bile ducts and gallbladder visible on X-ray images, allowing doctors to diagnose conditions such as gallstones, tumors, or inflammation of the gallbladder.

Cholecystography is not commonly used today due to the development of more advanced imaging techniques, such as ultrasound and computed tomography (CT) scans, which are non-invasive and do not require the use of contrast agents. However, it may still be used in certain cases where other imaging tests are inconclusive or unavailable.

Gallbladder diseases refer to a range of conditions that affect the function and structure of the gallbladder, a small pear-shaped organ located beneath the liver. The primary role of the gallbladder is to store, concentrate, and release bile into the small intestine to aid in digesting fats. Gallbladder diseases can be chronic or acute and may cause various symptoms, discomfort, or complications if left untreated. Here are some common gallbladder diseases with brief definitions:

1. Cholelithiasis: The presence of gallstones within the gallbladder. Gallstones are small, hard deposits made of cholesterol, bilirubin, or a combination of both, which can vary in size from tiny grains to several centimeters.
2. Cholecystitis: Inflammation of the gallbladder, often caused by obstruction of the cystic duct (the tube connecting the gallbladder and the common bile duct) due to a gallstone. This condition can be acute or chronic and may cause abdominal pain, fever, and tenderness in the right upper quadrant of the abdomen.
3. Choledocholithiasis: The presence of gallstones within the common bile duct, which can lead to obstruction, jaundice, and potential infection of the biliary system (cholangitis).
4. Acalculous gallbladder disease: Gallbladder dysfunction or inflammation without the presence of gallstones. This condition is often seen in critically ill patients and can lead to similar symptoms as cholecystitis.
5. Gallbladder polyps: Small growths attached to the inner wall of the gallbladder. While most polyps are benign, some may have malignant potential, especially if they are larger than 1 cm in size or associated with certain risk factors.
6. Gallbladder cancer: A rare form of cancer that originates in the gallbladder tissue. It is often asymptomatic in its early stages and can be challenging to diagnose. Symptoms may include abdominal pain, jaundice, or a palpable mass in the right upper quadrant of the abdomen.

It is essential to consult with a healthcare professional if experiencing symptoms related to gallbladder disease for proper diagnosis and treatment.

I'm sorry for any confusion, but "Tokyo" is not a medical term. It is the capital city of Japan and the country's largest metropolitan area. If you have any questions about medical terms or topics, I would be happy to help with those!

Gallbladder neoplasms refer to abnormal growths in the tissue of the gallbladder, which can be benign or malignant. Benign neoplasms are non-cancerous and typically do not spread to other parts of the body. Malignant neoplasms, also known as gallbladder cancer, can invade nearby tissues and organs and may metastasize (spread) to distant parts of the body. Gallbladder neoplasms can cause symptoms such as abdominal pain, jaundice, and nausea, but they are often asymptomatic until they have advanced to an advanced stage. The exact causes of gallbladder neoplasms are not fully understood, but risk factors include gallstones, chronic inflammation of the gallbladder, and certain inherited genetic conditions.

Technetium Tc 99m Disofenin is not a medical condition, but rather a radiopharmaceutical used in diagnostic imaging. It is a radioactive tracer used in nuclear medicine scans, specifically for liver and biliary system imaging. The compound consists of the radioisotope Technetium-99m (Tc-99m) bonded to the pharmaceutical Disofenin.

The Tc-99m is a gamma emitter with a half-life of 6 hours, making it ideal for diagnostic imaging. When administered to the patient, the compound is taken up by the liver and excreted into the bile ducts and gallbladder, allowing medical professionals to visualize these structures using a gamma camera. This can help detect various conditions such as tumors, gallstones, or obstructions in the biliary system.

It's important to note that Technetium Tc 99m Disofenin is used diagnostically and not for therapeutic purposes. The radiation exposure from this compound is generally low and considered safe for diagnostic use. However, as with any medical procedure involving radiation, the benefits and risks should be carefully weighed and discussed with a healthcare professional.

Cholelithiasis is a medical term that refers to the presence of gallstones in the gallbladder. The gallbladder is a small pear-shaped organ located beneath the liver that stores bile, a digestive fluid produced by the liver. Gallstones are hardened deposits that can form in the gallbladder when substances in the bile, such as cholesterol or bilirubin, crystallize.

Gallstones can vary in size and may be as small as a grain of sand or as large as a golf ball. Some people with gallstones may not experience any symptoms, while others may have severe abdominal pain, nausea, vomiting, fever, and jaundice (yellowing of the skin and eyes) if the gallstones block the bile ducts.

Cholelithiasis is a common condition that affects millions of people worldwide, particularly women over the age of 40 and those with certain medical conditions such as obesity, diabetes, and rapid weight loss. If left untreated, gallstones can lead to serious complications such as inflammation of the gallbladder (cholecystitis), infection, or pancreatitis (inflammation of the pancreas). Treatment options for cholelithiasis include medication, shock wave lithotripsy (breaking up the gallstones with sound waves), and surgery to remove the gallbladder (cholecystectomy).

Xanthomatosis is a medical term that refers to the condition characterized by the presence of xanthomas, which are yellowish, fat-laden deposits that form under the skin or in other tissues. These deposits consist of lipids, such as cholesterol and triglycerides, and immune cells called macrophages, which have engulfed the lipids.

Xanthomas can occur in various parts of the body, including the eyelids, tendons, joints, and other areas with connective tissue. They may appear as small papules or larger nodules, and their size and number can vary depending on the severity of the underlying disorder.

Xanthomatosis is often associated with genetic disorders that affect lipid metabolism, such as familial hypercholesterolemia, or with acquired conditions that cause high levels of lipids in the blood, such as diabetes, hypothyroidism, and certain liver diseases. Treatment typically involves addressing the underlying disorder and controlling lipid levels through dietary changes, medications, or a combination of both.

Cholecystolithiasis is the medical term for the presence of gallstones in the gallbladder. The gallbladder is a small pear-shaped organ located under the liver that stores and concentrates bile, a digestive fluid produced by the liver. Gallstones are hardened deposits that can form in the gallbladder when substances in the bile, such as cholesterol or bilirubin, become concentrated and crystallize.

Gallstones can vary in size, from tiny grains of sand to large stones several centimeters in diameter. Some people may have a single gallstone, while others may have many. Gallstones may cause no symptoms at all, but if they block the flow of bile out of the gallbladder, they can cause pain, inflammation, and infection.

Symptoms of cholecystolithiasis may include abdominal pain, often in the upper right or center of the abdomen, that may be sharp or crampy and may occur after eating fatty foods. Other symptoms may include nausea, vomiting, fever, and chills. If gallstones are left untreated, they can lead to serious complications such as cholecystitis (inflammation of the gallbladder), pancreatitis (inflammation of the pancreas), or cholangitis (infection of the bile ducts). Treatment for cholecystolithiasis may include medication to dissolve the gallstones, shock wave lithotripsy to break up the stones, or surgery to remove the gallbladder.

Gallstones are small, hard deposits that form in the gallbladder, a small organ located under the liver. They can range in size from as small as a grain of sand to as large as a golf ball. Gallstones can be made of cholesterol, bile pigments, or calcium salts, or a combination of these substances.

There are two main types of gallstones: cholesterol stones and pigment stones. Cholesterol stones are the most common type and are usually yellow-green in color. They form when there is too much cholesterol in the bile, which causes it to become saturated and form crystals that eventually grow into stones. Pigment stones are smaller and darker in color, ranging from brown to black. They form when there is an excess of bilirubin, a waste product produced by the breakdown of red blood cells, in the bile.

Gallstones can cause symptoms such as abdominal pain, nausea, vomiting, and bloating, especially after eating fatty foods. In some cases, gallstones can lead to serious complications, such as inflammation of the gallbladder (cholecystitis), infection, or blockage of the bile ducts, which can cause jaundice, a yellowing of the skin and eyes.

The exact cause of gallstones is not fully understood, but risk factors include being female, older age, obesity, a family history of gallstones, rapid weight loss, diabetes, and certain medical conditions such as cirrhosis or sickle cell anemia. Treatment for gallstones may involve medication to dissolve the stones, shock wave therapy to break them up, or surgery to remove the gallbladder.

Gangrene is a serious and potentially life-threatening condition that occurs when there is a loss of blood flow to a specific area of the body, resulting in tissue death. It can be caused by various factors such as bacterial infections, trauma, diabetes, vascular diseases, and smoking. The affected tissues may become discolored, swollen, and emit a foul odor due to the accumulation of bacteria and toxins.

Gangrene can be classified into two main types: dry gangrene and wet (or moist) gangrene. Dry gangrene develops slowly and is often associated with peripheral arterial disease, which reduces blood flow to the extremities. The affected area turns black and shriveled as it dries out. Wet gangrene, on the other hand, progresses rapidly due to bacterial infections that cause tissue breakdown and pus formation. This type of gangrene can spread quickly throughout the body, leading to severe complications such as sepsis and organ failure if left untreated.

Treatment for gangrene typically involves surgical removal of the dead tissue (debridement), antibiotics to control infections, and sometimes revascularization procedures to restore blood flow to the affected area. In severe cases where the infection has spread or the damage is irreversible, amputation of the affected limb may be necessary to prevent further complications and save the patient's life.

Cholangitis is a medical condition characterized by inflammation of the bile ducts, which are the tubes that carry bile from the liver to the small intestine. Bile is a digestive juice produced by the liver that helps break down fats in food.

There are two types of cholangitis: acute and chronic. Acute cholangitis is a sudden and severe infection that can cause symptoms such as abdominal pain, fever, jaundice (yellowing of the skin and eyes), and dark urine. It is usually caused by a bacterial infection that enters the bile ducts through a blockage or obstruction.

Chronic cholangitis, on the other hand, is a long-term inflammation of the bile ducts that can lead to scarring and narrowing of the ducts. This can cause symptoms such as abdominal pain, itching, and jaundice. Chronic cholangitis can be caused by various factors, including primary sclerosing cholangitis (an autoimmune disease), bile duct stones, or tumors in the bile ducts.

Treatment for cholangitis depends on the underlying cause of the condition. Antibiotics may be used to treat bacterial infections, and surgery may be necessary to remove blockages or obstructions in the bile ducts. In some cases, medications may be prescribed to manage symptoms and prevent further complications.

An acute disease is a medical condition that has a rapid onset, develops quickly, and tends to be short in duration. Acute diseases can range from minor illnesses such as a common cold or flu, to more severe conditions such as pneumonia, meningitis, or a heart attack. These types of diseases often have clear symptoms that are easy to identify, and they may require immediate medical attention or treatment.

Acute diseases are typically caused by an external agent or factor, such as a bacterial or viral infection, a toxin, or an injury. They can also be the result of a sudden worsening of an existing chronic condition. In general, acute diseases are distinct from chronic diseases, which are long-term medical conditions that develop slowly over time and may require ongoing management and treatment.

Examples of acute diseases include:

* Acute bronchitis: a sudden inflammation of the airways in the lungs, often caused by a viral infection.
* Appendicitis: an inflammation of the appendix that can cause severe pain and requires surgical removal.
* Gastroenteritis: an inflammation of the stomach and intestines, often caused by a viral or bacterial infection.
* Migraine headaches: intense headaches that can last for hours or days, and are often accompanied by nausea, vomiting, and sensitivity to light and sound.
* Myocardial infarction (heart attack): a sudden blockage of blood flow to the heart muscle, often caused by a buildup of plaque in the coronary arteries.
* Pneumonia: an infection of the lungs that can cause coughing, chest pain, and difficulty breathing.
* Sinusitis: an inflammation of the sinuses, often caused by a viral or bacterial infection.

It's important to note that while some acute diseases may resolve on their own with rest and supportive care, others may require medical intervention or treatment to prevent complications and promote recovery. If you are experiencing symptoms of an acute disease, it is always best to seek medical attention to ensure proper diagnosis and treatment.

The cystic duct is a short tube that connects the gallbladder to the common bile duct, which carries bile from the liver and gallbladder into the small intestine. The cystic duct allows bile to flow from the gallbladder into the common bile duct when it is needed for digestion. It is a part of the biliary system and plays an important role in the digestive process.

Hemobilia is a medical condition that refers to the presence of blood in the bile ducts, which can lead to the passage of blood in the stool or vomiting of blood (hematemesis). This condition usually results from a traumatic injury, rupture of a blood vessel, or a complication from a medical procedure involving the liver, gallbladder, or bile ducts. In some cases, hemobilia may also be caused by tumors or abnormal blood vessels in the liver. Symptoms of hemobilia can include abdominal pain, jaundice, and gastrointestinal bleeding. Diagnosis typically involves imaging tests such as CT scans or endoscopic retrograde cholangiopancreatography (ERCP) to visualize the bile ducts and identify the source of bleeding. Treatment may involve endovascular procedures, surgery, or other interventions to stop the bleeding and manage any underlying conditions.

Biliary tract diseases refer to a group of medical conditions that affect the biliary system, which includes the gallbladder, bile ducts, and liver. Bile is a digestive juice produced by the liver, stored in the gallbladder, and released into the small intestine through the bile ducts to help digest fats.

Biliary tract diseases can cause various symptoms such as abdominal pain, jaundice, fever, nausea, vomiting, and changes in stool color. Some of the common biliary tract diseases include:

1. Gallstones: Small, hard deposits that form in the gallbladder or bile ducts made up of cholesterol or bilirubin.
2. Cholecystitis: Inflammation of the gallbladder, often caused by gallstones.
3. Cholangitis: Infection or inflammation of the bile ducts.
4. Biliary dyskinesia: A motility disorder that affects the contraction and relaxation of the muscles in the biliary system.
5. Primary sclerosing cholangitis: A chronic autoimmune disease that causes scarring and narrowing of the bile ducts.
6. Biliary tract cancer: Rare cancers that affect the gallbladder, bile ducts, or liver.

Treatment for biliary tract diseases varies depending on the specific condition and severity but may include medications, surgery, or a combination of both.

Technetium Tc 99m Lidofenin is a radiopharmaceutical used in nuclear medicine imaging procedures, specifically for hepatobiliary scintigraphy. It is a technetium-labeled compound, where the radioisotope technetium-99m (^99m^Tc) is bound to lidofenin, a liver-imaging agent.

The compound is used to assess the function and anatomy of the liver, gallbladder, and biliary system. After intravenous administration, Technetium Tc 99m Lidofenin is taken up by hepatocytes (liver cells) and excreted into the bile ducts and ultimately into the small intestine. The distribution and excretion of this radiopharmaceutical can be monitored using a gamma camera, providing functional information about the liver and biliary system.

It is essential to note that the use of Technetium Tc 99m Lidofenin should be under the guidance and supervision of healthcare professionals trained in nuclear medicine, as its administration and handling require specific expertise and safety measures due to the radioactive nature of the compound.

"Conversion to open surgery" is a medical term that refers to the situation when a surgical procedure, which was initially being performed using minimally invasive techniques (such as laparoscopy or thoracoscopy), needs to be changed to an open approach during the operation. This conversion may be necessary due to various reasons such as unforeseen technical difficulties, excessive bleeding, or discovery of unexpected surgical findings that cannot be safely managed using the minimally invasive approach. The decision to convert to an open surgery is typically made by the operating surgeon in order to ensure the safety and well-being of the patient.

Magnetic resonance cholangiopancreatography (MRCP) is a non-invasive medical imaging technique that uses magnetic resonance imaging (MRI) to visualize the bile ducts and pancreatic duct. This diagnostic test does not use radiation like other imaging techniques such as computed tomography (CT) scans or endoscopic retrograde cholangiopancreatography (ERCP).

During an MRCP, the patient lies on a table that slides into the MRI machine. Contrast agents may be used to enhance the visibility of the ducts. The MRI machine uses a strong magnetic field and radio waves to produce detailed images of the internal structures, allowing radiologists to assess any abnormalities or blockages in the bile and pancreatic ducts.

MRCP is often used to diagnose conditions such as gallstones, tumors, inflammation, or strictures in the bile or pancreatic ducts. It can also be used to monitor the effectiveness of treatments for these conditions. However, it does not allow for therapeutic interventions like ERCP, which can remove stones or place stents.

Biliary dyskinesia is a medical condition characterized by abnormal or impaired motility of the biliary system, which includes the gallbladder and the bile ducts. This can lead to symptoms such as abdominal pain, bloating, nausea, and vomiting, particularly after eating fatty foods.

In biliary dyskinesia, the gallbladder may not contract properly or may contract too much, leading to a backup of bile in the liver or bile ducts. This can cause inflammation and irritation of the biliary system and surrounding tissues.

The condition is often diagnosed through imaging tests such as ultrasound, nuclear medicine scans, or MRI, which can help assess gallbladder function and detect any abnormalities in the biliary system. Treatment for biliary dyskinesia may include medications to improve gallbladder motility, dietary modifications, or in some cases, surgery to remove the gallbladder.

Choledocholithiasis is a medical condition characterized by the presence of one or more gallstones in the common bile duct, which is the tube that carries bile from the liver and gallbladder to the small intestine. Bile is a digestive fluid produced by the liver that helps break down fats in the small intestine. Gallstones are hardened deposits of digestive fluids that can form in the gallbladder or, less commonly, in the bile ducts.

Choledocholithiasis can cause a variety of symptoms, including abdominal pain, jaundice (yellowing of the skin and eyes), nausea, vomiting, and fever. If left untreated, it can lead to serious complications such as infection or inflammation of the bile ducts or pancreas, which can be life-threatening.

The condition is typically diagnosed through imaging tests such as ultrasound, CT scan, or MRI, and may require endoscopic or surgical intervention to remove the gallstones from the common bile duct.

A granuloma is a small, nodular inflammatory lesion that occurs in various tissues in response to chronic infection, foreign body reaction, or autoimmune conditions. Histologically, it is characterized by the presence of epithelioid macrophages, which are specialized immune cells with enlarged nuclei and abundant cytoplasm, often arranged in a palisading pattern around a central area containing necrotic debris, microorganisms, or foreign material.

Granulomas can be found in various medical conditions such as tuberculosis, sarcoidosis, fungal infections, and certain autoimmune disorders like Crohn's disease. The formation of granulomas is a complex process involving both innate and adaptive immune responses, which aim to contain and eliminate the offending agent while minimizing tissue damage.

Organotechnetium compounds are chemical substances that contain carbon-technetium bonds, where technetium is an element with the symbol Tc and atomic number 43. These types of compounds are primarily used in medical imaging as radioactive tracers due to the ability of technetium-99m to emit gamma rays. The organotechnetium compounds help in localizing specific organs, tissues, or functions within the body, making them useful for diagnostic purposes in nuclear medicine.

It is important to note that most organotechnetium compounds are synthesized from technetium-99m, which is generated from the decay of molybdenum-99. The use of these compounds requires proper handling and administration by trained medical professionals due to their radioactive nature.

Cholangiography is a medical procedure that involves taking X-ray images of the bile ducts (the tubes that carry bile from the liver to the small intestine). This is typically done by injecting a contrast dye into the bile ducts through an endoscope or a catheter that has been inserted into the body.

There are several types of cholangiography, including:

* Endoscopic retrograde cholangiopancreatography (ERCP): This procedure involves inserting an endoscope through the mouth and down the throat into the small intestine. A dye is then injected into the bile ducts through a small tube that is passed through the endoscope.
* Percutaneous transhepatic cholangiography (PTC): This procedure involves inserting a needle through the skin and into the liver to inject the contrast dye directly into the bile ducts.
* Operative cholangiography: This procedure is performed during surgery to examine the bile ducts for any abnormalities or blockages.

Cholangiography can help diagnose a variety of conditions that affect the bile ducts, such as gallstones, tumors, or inflammation. It can also be used to guide treatment decisions, such as whether surgery is necessary to remove a blockage.

A biliary fistula is an abnormal connection or passage between the biliary system (which includes the gallbladder, bile ducts, and liver) and another organ or structure, usually in the abdominal cavity. This connection allows bile, which is a digestive fluid produced by the liver, to leak out of its normal pathway and into other areas of the body.

Biliary fistulas can occur as a result of trauma, surgery, infection, or inflammation in the biliary system. Symptoms may include abdominal pain, fever, jaundice (yellowing of the skin and eyes), nausea, vomiting, and clay-colored stools. Treatment typically involves addressing the underlying cause of the fistula, such as draining an infection or repairing damaged tissue, and diverting bile flow away from the site of the leak. In some cases, surgery may be necessary to repair the fistula.

Gallbladder emptying refers to the process by which the gallbladder releases bile into the small intestine through the bile duct. The gallbladder is a small pear-shaped organ that stores and concentrates bile, a digestive fluid produced by the liver. After eating, especially when fatty or greasy foods are consumed, the hormone cholecystokinin (CCK) is released into the bloodstream, which stimulates the contraction of the gallbladder and relaxation of the sphincter of Oddi, a muscle that controls the opening and closing of the bile duct. This allows the concentrated bile to flow from the gallbladder into the small intestine, where it helps break down fats for absorption.

Gallbladder emptying can be assessed through various diagnostic tests, such as ultrasound or cholescintigraphy (also known as a HIDA scan), which measures the rate and degree of gallbladder emptying in response to CCK stimulation. Abnormalities in gallbladder emptying can contribute to conditions such as gallstones, biliary dyskinesia, and other functional gallbladder disorders.

Drainage, in medical terms, refers to the removal of excess fluid or accumulated collections of fluids from various body parts or spaces. This is typically accomplished through the use of medical devices such as catheters, tubes, or drains. The purpose of drainage can be to prevent the buildup of fluids that may cause discomfort, infection, or other complications, or to treat existing collections of fluid such as abscesses, hematomas, or pleural effusions. Drainage may also be used as a diagnostic tool to analyze the type and composition of the fluid being removed.

Endoscopic retrograde cholangiopancreatography (ERCP) is a medical procedure that combines upper gastrointestinal (GI) endoscopy and fluoroscopy to diagnose and treat certain problems of the bile ducts and pancreas.

During ERCP, a flexible endoscope (a long, thin, lighted tube with a camera on the end) is passed through the patient's mouth and throat, then through the stomach and into the first part of the small intestine (duodenum). A narrow plastic tube (catheter) is then inserted through the endoscope and into the bile ducts and/or pancreatic duct. Contrast dye is injected through the catheter, and X-rays are taken to visualize the ducts.

ERCP can be used to diagnose a variety of conditions affecting the bile ducts and pancreas, including gallstones, tumors, strictures (narrowing of the ducts), and chronic pancreatitis. It can also be used to treat certain conditions, such as removing gallstones from the bile duct or placing stents to keep the ducts open in cases of stricture.

ERCP is an invasive procedure that carries a risk of complications, including pancreatitis, infection, bleeding, and perforation (a tear in the lining of the GI tract). It should only be performed by experienced medical professionals in a hospital setting.

Retrospective studies, also known as retrospective research or looking back studies, are a type of observational study that examines data from the past to draw conclusions about possible causal relationships between risk factors and outcomes. In these studies, researchers analyze existing records, medical charts, or previously collected data to test a hypothesis or answer a specific research question.

Retrospective studies can be useful for generating hypotheses and identifying trends, but they have limitations compared to prospective studies, which follow participants forward in time from exposure to outcome. Retrospective studies are subject to biases such as recall bias, selection bias, and information bias, which can affect the validity of the results. Therefore, retrospective studies should be interpreted with caution and used primarily to generate hypotheses for further testing in prospective studies.

Colic is a term used to describe excessive, frequent crying or fussiness in a healthy infant, often lasting several hours a day and occurring several days a week. Although the exact cause of colic is unknown, it may be related to digestive issues, such as gas or indigestion. The medical community defines colic by the "Rule of Three": crying for more than three hours per day, for more than three days per week, and for longer than three weeks in an infant who is well-fed and otherwise healthy. It typically begins within the first few weeks of life and improves on its own, usually by age 3-4 months. While colic can be distressing for parents and caregivers, it does not cause any long-term harm to the child.

Spontaneous rupture in medical terms refers to the sudden breaking or tearing of an organ, tissue, or structure within the body without any identifiable trauma or injury. This event can occur due to various reasons such as weakening of the tissue over time because of disease or degeneration, or excessive pressure on the tissue.

For instance, a spontaneous rupture of the appendix is called an "appendiceal rupture," which can lead to peritonitis, a serious inflammation of the abdominal cavity. Similarly, a spontaneous rupture of a blood vessel, like an aortic aneurysm, can result in life-threatening internal bleeding.

Spontaneous ruptures are often medical emergencies and require immediate medical attention for proper diagnosis and treatment.

Abdominal pain is defined as discomfort or painful sensation in the abdomen. The abdomen is the region of the body between the chest and the pelvis, and contains many important organs such as the stomach, small intestine, large intestine, liver, gallbladder, pancreas, and spleen. Abdominal pain can vary in intensity from mild to severe, and can be acute or chronic depending on the underlying cause.

Abdominal pain can have many different causes, ranging from benign conditions such as gastritis, indigestion, or constipation, to more serious conditions such as appendicitis, inflammatory bowel disease, or abdominal aortic aneurysm. The location, quality, and duration of the pain can provide important clues about its cause. For example, sharp, localized pain in the lower right quadrant of the abdomen may indicate appendicitis, while crampy, diffuse pain in the lower abdomen may suggest irritable bowel syndrome.

It is important to seek medical attention if you experience severe or persistent abdominal pain, especially if it is accompanied by other symptoms such as fever, vomiting, or bloody stools. A thorough physical examination, including a careful history and a focused abdominal exam, can help diagnose the underlying cause of the pain and guide appropriate treatment.

The common bile duct is a duct that results from the union of the cystic duct (which drains bile from the gallbladder) and the common hepatic duct (which drains bile from the liver). The common bile duct transports bile, a digestive enzyme, from the liver and gallbladder to the duodenum, which is the first part of the small intestine.

The common bile duct runs through the head of the pancreas before emptying into the second part of the duodenum, either alone or in conjunction with the pancreatic duct, via a small opening called the ampulla of Vater. The common bile duct plays a crucial role in the digestion of fats by helping to break them down into smaller molecules that can be absorbed by the body.

A liver abscess is a localized collection of pus within the liver tissue caused by an infection. It can result from various sources such as bacterial or amebic infections that spread through the bloodstream, bile ducts, or directly from nearby organs. The abscess may cause symptoms like fever, pain in the upper right abdomen, nausea, vomiting, and weight loss. If left untreated, a liver abscess can lead to serious complications, including sepsis and organ failure. Diagnosis typically involves imaging tests like ultrasound or CT scan, followed by drainage of the pus and antibiotic treatment.

Endoscopy of the digestive system, also known as gastrointestinal (GI) endoscopy, is a medical procedure that allows healthcare professionals to visually examine the inside lining of the digestive tract using a flexible tube with a light and camera attached to it, called an endoscope. This procedure can help diagnose and treat various conditions affecting the digestive system, including gastroesophageal reflux disease (GERD), ulcers, inflammatory bowel disease (IBD), and cancer.

There are several types of endoscopy procedures that focus on different parts of the digestive tract:

1. Esophagogastroduodenoscopy (EGD): This procedure examines the esophagus, stomach, and duodenum (the first part of the small intestine). It is often used to investigate symptoms such as difficulty swallowing, abdominal pain, or bleeding in the upper GI tract.
2. Colonoscopy: This procedure explores the large intestine (colon) and rectum. It is commonly performed to screen for colon cancer, as well as to diagnose and treat conditions like inflammatory bowel disease, diverticulosis, or polyps.
3. Sigmoidoscopy: Similar to a colonoscopy, this procedure examines the lower part of the colon (sigmoid colon) and rectum. It is often used as a screening tool for colon cancer and to investigate symptoms like rectal bleeding or changes in bowel habits.
4. Upper GI endoscopy: This procedure focuses on the esophagus, stomach, and duodenum, using a thin, flexible tube with a light and camera attached to it. It is used to diagnose and treat conditions such as GERD, ulcers, and difficulty swallowing.
5. Capsule endoscopy: This procedure involves swallowing a small capsule containing a camera that captures images of the digestive tract as it passes through. It can help diagnose conditions in the small intestine that may be difficult to reach with traditional endoscopes.

Endoscopy is typically performed under sedation or anesthesia to ensure patient comfort during the procedure. The images captured by the endoscope are displayed on a monitor, allowing the healthcare provider to assess the condition of the digestive tract and make informed treatment decisions.

A choristoma is a type of growth that occurs when normally functioning tissue is found in an abnormal location within the body. It is not cancerous or harmful, but it can cause problems if it presses on surrounding structures or causes symptoms. Choristomas are typically congenital, meaning they are present at birth, and are thought to occur due to developmental errors during embryonic growth. They can be found in various organs and tissues throughout the body, including the brain, eye, skin, and gastrointestinal tract.

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... acute cholecystitis and elderly people". J R Coll Surg Edinb. 41 (2): 88-9. PMID 8632396. "Cholecystitis acute". Medcyclopaedia ... "Further observations on the usefulness of the sonographic Murphy sign in the evaluation of suspected acute cholecystitis" (PDF ... and hepatobiliary scanning findings in patients with suspected acute cholecystitis". Ann Emerg Med. 28 (3): 267-72. doi:10.1016 ... Typically, it is positive in cholecystitis, but negative in choledocholithiasis, pyelonephritis, and ascending cholangitis. ...
Some historians believe the death of Alexander the Great may have been associated with an acute episode of cholecystitis. The ... Eachempati, Soumitra R.; II, R. Lawrence Reed (2015). Acute Cholecystitis. Springer. pp. 1-16. ISBN 9783319148243. Jarnagin, ... Known as cholecystitis, inflammation of the gallbladder is commonly caused by obstruction of the duct with gallstones, which is ... Cholecystitis is often managed with rest and antibiotics, particularly cephalosporins and, in severe cases, metronidazole. ...
"Acute Calculous Cholecystitis". ultrasoundtraining.com. Archived from the original on January 5, 2009. Retrieved May 26, 2011. ... "The sonographic diagnosis of acute gangrenous cholecystitis: importance of the Murphy sign". AJR. American Journal of ... "Real-time sonography in suspected acute cholecystitis. Prospective evaluation of primary and secondary signs". Radiology. 155 ( ... It is different from the Murphy sign found on physical examination, but both signs are associated with cholecystitis When the ...
Trowbridge, RL; Rutkowski, NK; Shojania, KG (1 January 2003). "Does this patient have acute cholecystitis?" (PDF). JAMA. 289 (1 ... which can be a symptom in acute cholecystitis (inflammation of the gallbladder). It is one of many signs a medical provider may ...
"Sympathetic Nerve Block in Early Acute Cholecystitis". Arch. Surg. 63 (1): 128-131. doi:10.1001/archsurg.1951.01250040131019. ...
Wiseman JT, Sharuk MN, Singla A, Cahan M, Litwin DE, Tseng JF, Shah SA (May 2010). "Surgical Management of Acute Cholecystitis ... Csikesz N, Ricciardi R, Tseng JF, Shah SA (October 2008). "Current status of surgical management of acute cholecystitis in the ... Csikesz NG, Tseng JF, Shah SA (August 2008). "Trends in surgical management for acute cholecystitis". Surgery. 144 (2): 283-9. ... Singla A, Csikesz NG, Simons JP, Li YF, Ng SC, Tseng JF, Shah SA (Aug 2009). "National Hospital Volume in Acute Pancreatitis: ...
"Open versus laparoscopic cholecystectomy in acute cholecystitis. Systematic review and meta-analysis". International Journal of ...
"Kocuria kristinae infection associated with acute cholecystitis". BMC Infectious Diseases. 5 (1): 60. doi:10.1186/1471-2334-5- ... Specific infection associated with Kocuria are urinary tract infections, cholecystitis, catheter-associated bacteremia, ...
Shakespear, J. S.; Shaaban, A. M.; Rezvani, M. (2010). "CT findings of acute cholecystitis and its complications". American ... Ansaloni, L. (2016). "2016 WSES guidelines on acute calculous cholecystitis". World Journal of Emergency Surgery. 11: 25. doi: ... The report found that those with acute inflammation of the gallbladder can be surgically treated in the acute phase, within a ... cholecystitis) or the biliary tree (cholangitis) or acute inflammation of the pancreas (pancreatitis). Rarely, a gallstone can ...
... such as acute cholecystitis, that requires urgent surgery. Acute cholecystitis is the second most common cause of acute abdomen ... People with repeat episodes of acute cholecystitis can develop chronic cholecystitis from changes in the normal anatomy of the ... the person develops acute cholecystitis. Pain in cholecystitis is similar to that of biliary colic, but lasts longer than six ... Conservative management for acute cholecystitis involves treating the infection without surgery. It is usually only considered ...
Owen CC, Bilhartz LE (2003). "Gallbladder polyps, cholesterolosis, adenomyomatosis, and acute acalculous cholecystitis". Semin ...
"Erdogan's Mother Tenzile Erdogan Dies of Acute Cholecystitis". Turkish Weekly. 7 October 2011. Archived from the original on 8 ...
2016). "2016 WSES guidelines on acute calculous cholecystitis". World Journal of Emergency Surgery. 11: 25. doi:10.1186/s13017- ... A 1.9 cm gallstone impacted in the neck of the gallbladder and leading to cholecystitis as seen on ultrasound. There is 4 mm ... However, when a gallstone obstructs the bile duct and causes acute cholestasis, a reflexive smooth muscle spasm often occurs, ... August 2015). "Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic ...
Acute presentations of the syndrome include symptoms consistent with cholecystitis. Surgery is extremely difficult as Calot's ... jaundice can be caused by direct extrinsic compression by the stone or from fibrosis caused by chronic cholecystitis ( ...
"Tube Cholecystostomy Before Cholecystectomy for the Treatment of Acute Cholecystitis". Journal of the Society of ... "Early Recognition of Acute Thoracic Aortic Dissection and Aneurysm". World Journal of Emergency Surgery. 8 (1): 47. doi:10.1186 ... "Critical Comparison of Diagnostic Laparoscopy and Appendectomy versus Open Appendectomy for the Evaluation of Acute Right Lower ...
The symptoms may mimic those of acute appendicitis, diverticulitis, or cholecystitis. The pain is characteristically intense ... Omental infarction: Omental infarction is uncommon reason for acute abdomen. It is similar to acute appendicitis. The pain is ... Patients with acute epiploic appendagitis do not normally report a change in bowel habits, while a small number may have ... Epiploic appendagitis presents with an acute onset of pain, commonly in the left lower quadrant the symptoms often lead to a ...
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... acute pancreatitis, cholecystitis or acute cholangitis. Prevalence of gallstone disease increases with age and body mass index ... 2007). "Definitions, pathophysiology, and epidemiology of acute cholangitis and cholecystitis: Tokyo Guidelines". J ... Acute cholangitis carries a significant risk of death, the leading cause being irreversible shock with multiple organ failure ( ... Lai EC, Tam PC, Paterson IA, Ng MM, Fan ST, Choi TK, Wong J (January 1990). "Emergency surgery for severe acute cholangitis. ...
His causes of death were given as acute cholecystitis and cardiac paralysis. Carlo Muscetta survived. Later Muscetta would ...
... for acute cholecystitis has sensitivity of 97%, specificity of 94%. Several investigators have found the ... For example for cholecystitis, cheaper and less invasive ultrasound imaging may be preferred, while for bile reflux ... this indicates either cholecystitis or cystic duct obstruction, such as by cholelithiasis (gallstone formation). The ...
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They also argued that his sepsis was actually caused by post-traumatic acute acalculous cholecystitis. Based on the autopsy ... Pappas, Theodore N.; Joharifard, Shahrzad (July 8, 2013). "Did James A. Garfield die of cholecystitis? Revisiting the autopsy ... state that they don't believe that Garfield's doctors could have saved him even if they had been aware of his cholecystitis, ...
They also argued that his sepsis was actually caused by post-traumatic acute acalculous cholecystitis. Based on the autopsy ... Pappas, Theodore N.; Joharifard, Shahrzad (July 8, 2013). "Did James A. Garfield die of cholecystitis? Revisiting the autopsy ...
... may cause complications such as biliary colic, acute cholecystitis, acute cholangitis, and acute pancreatitis. ...
Situations when gall bladder emptying is indicated: If a patient is suspected to have acute cholecystitis. Acute cholecystitis ... If after 30 minutes of MS administration, the gallbladder is still not visualized, acute cholecystitis can be assumed with ... If gall bladder ejection fraction (GBEF) is to be obtained because patient is suspected to have chronic cholecystitis without ... Only pain during gallbladder contraction/emptying and low GBEF can be associated with chronic cholecystitis. False positives ...
PMID 27493442 [2] Saeed A, Ali S, Ibnouf M. Acute Cholecystitis in paediatric patients in Khartoum, Sudan. Sudan JMS Vol. 2, No ...
He is best remembered for the eponymous clinical sign that is used in evaluating patients with acute cholecystitis. His career ... his preferred treatment for acute cholecystitis), but it was equally suitable for intestinal anastomoses. He developed it in ...
... laparoscopic surgery in acute cholecystitis is more effective, even in patients with cirrhosis (1998). Endoscopic stend and ...
They also argued that his sepsis was actually caused by post-traumatic acute acalculous cholecystitis (inflammation of the ... 312-313 Pappas, Theodore N.; Joharifard, Shahrzad (July 8, 2013). "Did James A. Garfield die of cholecystitis? Revisiting the ...
Ninety percent of cases involve stones in the cystic duct (ie, calculous cholecystitis), with the other 10% of cases ... Cholecystitis is defined as inflammation of the gallbladder that occurs most commonly because of an obstruction of the cystic ... encoded search term (Acute Cholecystitis) and Acute Cholecystitis What to Read Next on Medscape ... Patients with Tokyo grade II (moderate) acute cholecystitis and those with Tokyo grade III (severe) acute cholecystitis had, ...
Acute acalculous cholecystitis (ACC) is a rare complication of acute hepatitis B virus infection; only few cases are reported ... We present a 27-year-old female case diagnosed to have acute acalculous cholecystitis and associated with acute hepatitis B ... as ACC associated with acute hepatitis B virus infection. ACC cases are self-limiting, while other limited cases can progress ... During the course of acute viral hepatitis, some functional and anatomical changes to the gallbladder can occur. ...
Acute cholecystitis (AC) is a common and potentially life-threatening condition. While early cholecystectomy (surgical removal ... We used the following search terms: acute cholecystitis OR severe cholecystitis OR cholecystitis AND cholecystectomy OR ... Cholecystostomy in acute cholecystitis in modern surgical practice. Beburishvili, A.G.; Panin, S.I.; Zyubina, E.N.; Nesterov, S ... Acute cholecystitis (AC) is a common and potentially life-threatening condition. While early cholecystectomy (surgical removal ...
... World J Gastrointest Surg 2017; 9(5): 118-126 ... Acute calculous cholecystitis: Review of current best practices. World J Gastrointest Surg 2017; 9(5): 118-126 [PMID: 28603584 ...
Keyword(s): acute cholecystitis, approach, biliary, bleeding, CBD, common bile duct, cystic artery, dissection, dome-down ...
X-Ray abdomen is of limited value in acute cholecystitis as only 15-20% of gallstones are visible on an X-Ray. ... Abdominal X-Ray does not aid diagnosis of acute cholecystitis. It is performed as an initial evaluation to diagnose the ... Abdominal X-Ray does not aid diagnosis of acute cholecystitis. It is performed as an initial evaluation to diagnose the ... acute gallbladder disease or acute pancreatitis". Emerg Med J. 27 (10): 754-7. doi:10.1136/emj.2009.083188. PMID 20511636.. ...
What is the best practice management for patients with acute cholecystitis?. Koji Asai, MD, Manabu Watanabe, Hiroshi Matsukiyo ... We assessed the best practice management for patients with acute cholecystitis (AC) according to our own experience. ...
Laparoscopic cholecystectomy versus percutaneous catheter drainage for acute cholecystitis in high risk patients (CHOCOLATE): ... Laparoscopic cholecystectomy versus percutaneous catheter drainage for acute cholecystitis in high risk patients (CHOCOLATE): ... Laparoscopic cholecystectomy versus percutaneous catheter drainage for acute cholecystitis in high risk patients (CHOCOLATE): ... Laparoscopic cholecystectomy versus percutaneous catheter drainage for acute cholecystitis in high risk patients (CHOCOLATE): ...
... symptomatic gallstones are common before developing cholecystitis. Right upper quadrant (RUQ) pain lasting more than 3 to 6 ... Acute cholecystitis is a major complication of cholelithiasis (i.e., gallstones); ... TG18 surgical management of acute cholecystitis: safe steps in laparoscopic cholecystectomy for acute cholecystitis (with ... Acute cholecystitis is acute inflammation of the gallbladder, and is one of the major complications of cholelithiasis (the ...
... acute cholecystitis, bile acids, blood cholesterol, chronic cholecystitis, crystal forms, fever and chills, gallbladder, ... Gallbladder Disease (Gallstones and Cholecystitis). By Tom Monte,2018-04-03T19:32:18+00:00March 21st, 2011,Categories: Natural ...
Acute acalculous cholecystitis in a pediatric dengue hemorrhagic fever patient: A case report, lesson learned from limited ... Acute acalculous cholecystitis in a pediatric dengue hemorrhagic fever patient: A case report, lesson learned from limited ... Acute acalculous cholecystitis in a pediatric dengue hemorrhagic fever patient: A case report, lesson learned from limited ... However, the incidence of abdominal pain as a clinical manifestation of DF, which refers to acalculous cholecystitis, is rare. ...
Acute cholecystitis due to calculus of gallbladder and bile duct. *Cholelithiasis and choledocholithiasis w acute cholecystitis ... 2015/16 ICD-10-CM K80.62 Calculus of gallbladder and bile duct with acute cholecystitis without obstruction ... Calculus of gallbladder and bile duct with acute cholecystitis, without mention of obstruction ...
Systematic review of antibiotic treatment for acute calculous cholecystitis.. A H van Dijk, P R de Reuver, T N Tasma, S van ... BACKGROUND: Intravenous antibiotics are frequently used in the initial management of acute calculous cholecystitis (ACC), ...
Acute cholecystitis is inflammation of the gallbladder. It is usually caused when a gallstone blocks the cystic duct. Learn ... Symptoms of acute cholecystitis. The main symptom of acute cholecystitis is sudden, sharp pain in the upper right-hand side of ... Preventing acute cholecystitis. Its not always possible to prevent acute cholecystitis, but there are some steps you can take ... What is acute cholecystitis?. Acute cholecystitis is inflammation of the gallbladder. It usually happens when a gallstone, ...
Treatment of Acute Cholecystitis In this paper, I am going to talk about a patient I had the chance to assess in the clinical ... Acute Cholecystitis , Patient Case Study. Treatment of Acute Cholecystitis In this paper, I am going to talk about a patient I ... nursinganswers.net/case-studies/acute-cholecystitis-patient-case-study.php?vref=1 ,title=Acute Cholecystitis , Patient Case ... Acute Cholecystitis , Patient Case Study. [online]. Available from: https://nursinganswers.net/case-studies/acute-cholecystitis ...
Acute Cholecystitis - Etiology, pathophysiology, symptoms, signs, diagnosis & prognosis from the MSD Manuals - Medical ... Acute acalculous cholecystitis The symptoms are similar to those of acute cholecystitis with gallstones but may be difficult to ... Acute acalculous cholecystitis Acute acalculous cholecystitis is suggested if a patient has no gallstones but has ... Acute acalculous cholecystitis Acalculous cholecystitis is cholecystitis without stones. It accounts for 5 to 10% of ...
Tok and is well known for Acute Cholecystitis, Acute Cholangitis and Pancreatic Cancer. ... acute cholecystitis , acute cholecystitis patients , acute cholecystitis pandemic , acute cholecystitis data , acute ... Key People For Acute Cholecystitis. Top KOLs in the world #1 Henry Anthony Pitt. acute cholangitis tokyo guidelines pancreatic ... Concepts for whichTakao Takaohas direct influence:Acute cholecystitis, Acute cholangitis, Pancreatic cancer, Bile duct, Biliary ...
Management of Acute Cholecystitis in COVID-19. Mehmet Burak Dal.. Abstract. Introduction: The COVID-19 pandemic has affected ... Management of Acute Cholecystitis in COVID-19. Ulutas Med J. 2022; 8(2): 79-81. doi:10.5455/umj.20220223101341. Vancouver/ICMJE ... "Management of Acute Cholecystitis in COVID-19." THE ULUTAS MEDICAL JOURNAL 8 (2022), 79-81. doi:10.5455/umj.20220223101341. MLA ... Management of Acute Cholecystitis in COVID-19. THE ULUTAS MEDICAL JOURNAL, 8 (2), 79-81. doi:10.5455/umj.20220223101341. ...
Acute cholecystitis is inflammation of the gallbladder that develops over hours, usually because a gallstone obstructs the ... Acute cholecystitis and its complications - Pass online тест. ... Acute cholecystitis and its complications Acute cholecystitis is inflammation of the gallbladder that develops over hours, ...
... Zachary Pickell; Krishnan ... ABSTRACT: Acute hemorrhagic cholecystitis is a rare, life-threatening condition that can be further complicated by perforation ... We describe a patient with clinical and radiologic findings of acute cholecystitis with a gallbladder rupture and massive intra ... 4 Kwok A, Chern TY, Winn R. Acute cholecystitis and gallbladder perforation leading to massive haemoperitoneum in a patient ...
Chronic cholecystitis may be asymptomatic, may present as a more severe case of acute cholecystitis, or may lead to a number of ... Chronic cholecystitis occurs after repeated episodes of acute cholecystitis and is almost always due to gallstones. ... Often gallbladder attacks (biliary colic) precede acute cholecystitis. The pain lasts longer in cholecystitis than in a typical ... Gallstones blocking the flow of bile account for 90% of cases of cholecystitis (acute calculous cholecystitis). Blockage of ...
The Cox proportional hazard model was used to determine the effect on survival of urgent surgery for acute cholecystitis and of ... The Cox proportional hazard model was used to determine the effect on survival of urgent surgery for acute cholecystitis and of ... Thirteen patients had previously undergone urgent surgery for acute cholecystitis; 21 had undergone a routine operation. The 5- ... Thirteen patients had previously undergone urgent surgery for acute cholecystitis; 21 had undergone a routine operation. The 5- ...
This spectrum ranges from asymptomatic gallstones to biliary colic, cholecystitis, choledocholithiasis, and cholangitis. ... Biliary colic and cholecystitis are in the spectrum of biliary tract disease. ... encoded search term (Acute Cholecystitis and Biliary Colic) and Acute Cholecystitis and Biliary Colic What to Read Next on ... Acute cholecystitis. For some patients with acute cholecystitis to be treated on an outpatient basis, the following patient ...
Acute Acalculous Cholecystitis. By Chroneos PC, Towbin RB, Schaefer CM, Towbin AJ ...
Finally, patients were divided into two groups of acute Cholecystitis and Gangrenous Cholecystitis based on pathological ... diabetes mellitus and leukocytosis could lead to the development of acute cholecystitis toward Gangrenous Cholecystitis, a ... In this study, nine variables that could be effective on the prognosis of acute cholecystitis and its progression toward the ... Histological studies indicated the presence of microscopic evidence of acute cholecystitis in all patients, of which 19 had ...
... H V M Spiers;O Kouli; ... Background This study provides a global overview of the management of patients with acute cholecystitis during the initial ... Results This study collected data on 9783 patients with acute cholecystitis admitted to 247 hospitals across the world. The ... Background This study provides a global overview of the management of patients with acute cholecystitis during the initial ...
Chronic cholecystitis - discharge; Dysfunctional gallbladder - discharge; Choledocholithiasis - discharge; Cholelithiasis - ...
Comprehensive assessment of the management of acute cholecystitis in Scotland: population-wide cohort study. 2023 - Published. ...
  • Patients with acalculous cholecystitis may present with fever and sepsis alone, without the history of pain. (medscape.com)
  • We present a 27-year-old female case diagnosed to have acute acalculous cholecystitis and associated with acute hepatitis B virus infection, and she recovered within one week of her presentation without complication or surgical intervention. (hindawi.com)
  • http://www.ncbi.nlm.nih.gov/pubmed/14625840?tool=bestpractice.com In 5% of cases, bile inspissation (due to dehydration) or bile stasis (due to trauma or severe systemic illness) can block the cystic duct, causing acalculous cholecystitis. (bmj.com)
  • Acute acalculous cholecystitis in a pediatric dengue hemorrhagic fever patient: A case report, lesson learned from limited resource setting. (iasp-pain.org)
  • However, the incidence of abdominal pain as a clinical manifestation of DF, which refers to acalculous cholecystitis, is rare. (iasp-pain.org)
  • Acalculous cholecystitis is cholecystitis without stones. (msdmanuals.com)
  • In young children, acute acalculous cholecystitis tends to follow a febrile illness without an identifiable infecting organism. (msdmanuals.com)
  • Risk factors for acalculous cholecystitis include diabetes, human immunodeficiency virus (HIV) infection, vascular disease, total parenteral nutrition, prolonged fasting, or being an intensive care unit (ICU) patient. (medscape.com)
  • Provided are scatter plots showing epithelial cell (a) proliferation and (b) apoptosis in acute acalculous cholecystitis (AAX), acute calculous cholecystitis (AXX) and normal gallbladder. (biomedcentral.com)
  • Is conservative management a safe approach for patients with acute acalculous cholecystitis presenting with an acute abdomen? (bvsalud.org)
  • Patients with acute acalculous cholecystitis (AAC) often present with acute abdominal symptoms. (bvsalud.org)
  • Three separate papers published online in Neurology on March 30 describe eight cases of acute acalculous cholecystitis (AAC), two cases of hemophagocytic lymphohistiocytosis (HLH), and one occurrence of acute coronary syndrome (ACS), all linked to the drug. (medscape.com)
  • Acute Acalculous Cholecystitis in a Patient With COVID-19 and a LVAD. (cdc.gov)
  • Cholecystitis is inflammation of the gallbladder that occurs most commonly because of the presence of stones in the gallbladder or an obstruction of the cystic duct by gallstones arising from the gallbladder (cholelithiasis). (medscape.com)
  • Acute cholecystitis is acute inflammation of the gallbladder, and is one of the major complications of cholelithiasis (the presence of gallstones). (bmj.com)
  • In fact, ≥ 95% of patients with acute cholecystitis have cholelithiasis. (msdmanuals.com)
  • one female patient had acute cholecystitis with cholelithiasis necessitating surgical intervention. (nih.gov)
  • To investigate this, the researchers identified 76 randomized controlled trials of GLP-1 agonists in 103,371 patients that had data for the following safety outcomes: cholelithiasis (gallstones, 61 trials), cholecystitis (inflamed gallbladder, 53 trials), biliary disease (21 trials), cholecystectomy (surgical removal of the gallbladder, seven trials), and biliary cancer (12 trials). (medscape.com)
  • Besides cholecystectomy (CC), percutaneous cholecystostomy (PC) has been recommended for the management of critically ill patients with acute cholecystitis. (aerzteblatt.de)
  • The benefit of percutaneous cholecystostomy (PC) over cholecystectomy (CC) in the management of critically ill patients with acute cholecystitis could not be proven in this systematic review. (aerzteblatt.de)
  • While early cholecystectomy (surgical removal of the gallbladder independent of the means of access) has been unequivocally established as the gold standard for the management of young and fit for surgery patients with AC ( 1 3 ), the optimal management of critically ill and elderly patients with acute cholecystitis remains a topic of discussion. (aerzteblatt.de)
  • The aim of this systematic review therefore was to investigate the clinical benefit of PC in the management of critically ill patients with acute cholecystitis by comparing the outcomes of critically ill patients managed with PC to those of similar patients managed with cholecystectomy (CC). The null hypothesis assumed there is no difference amongst both interventions with regard to outcomes. (aerzteblatt.de)
  • We used the following search terms: acute cholecystitis OR severe cholecystitis OR cholecystitis AND cholecystectomy OR laparoscopic cholecystectomy OR open cholecystectomy AND Cholecystostomy OR percutaneous cholecystectomy OR gallbladder drain OR gallbladder tube OR transhepatic gallbladder drain OR transhepatic gallbladder tube OR cholecystostomy tube. (aerzteblatt.de)
  • Intravenous antibiotics are frequently used in the initial management of acute calculous cholecystitis (ACC), although supportive care alone preceding delayed elective cholecystectomy may be sufficient. (qxmd.com)
  • We focused on patients who underwent cholecystectomy during the acute phase of the pandemic and subsequent disease. (ulutasmedicaljournal.com)
  • He underwent an emergent laparoscopic converted to open subtotal fenestrating cholecystectomy with abdominal washout for management of his acute hemorrhagic cholecystitis with massive intra-abdominal hemorrhage. (autopsyandcasereports.org)
  • OBJECTIVE: The objective of this study is to assess the prognosis of unexpected gallbladder cancer diagnosed after laparoscopic cholecystectomy for acute cholecystitis. (unicatt.it)
  • CONCLUSIONS: The prognosis of unexpected gallbladder cancer is worsened when laparoscopic cholecystectomy is performed for acute cholecystitits. (unicatt.it)
  • [ 1 ] However, the incidence of acute cholecystitis is falling, likely due to increased acceptance by patients of laparoscopic cholecystectomy as a treatment of symptomatic gallstones. (medscape.com)
  • Cholecystectomy was associated with a low risk of mortality and deferral of treatment results in an increase in avoidable morbidity that represents the non-COVID cost of this pandemic.CHOLECOVID is a global overview of the management of patients with acute cholecystitis during the first 2 months of the SARS-CoV-2 pandemic. (unime.it)
  • Finally, patients were divided into two groups of acute Cholecystitis and Gangrenous Cholecystitis based on pathological findings after cholecystectomy. (ijabbr.com)
  • To examine the effect of standardization of surgeon-controlled variables on patient outcome after cholecystectomy for two cohorts of patients with acute cholecystitis (AC). (qxmd.com)
  • MN, age 40 , is admitted with acute cholecystitis, elevated WBC, and a fever of 102 F . She has undergone an open cholecystectomy and has been transferred to your floor. (qualifiedhomeworktutors.com)
  • Patients with acute cholecystitis should have a laparoscopic cholecystectomy early in their management course. (aafp.org)
  • However, recent clinical studies have suggested that some patients with AAC and an acute abdomen , especially when caused by viruses or rheumatic disease , may not require cholecystectomy and that conservative treatment is adequate. (bvsalud.org)
  • Whether cholecystectomy is superior to conservative treatment for patients with AAC presenting with a severe acute abdomen is still uncertain. (bvsalud.org)
  • postoperative haemorrhage (in cholecystectomy patient) and acute chest syndrome (in one appendicectomy patient). (bvsalud.org)
  • Systematic review of antibiotic treatment for acute calculous cholecystitis. (qxmd.com)
  • The most common presenting symptom of acute cholecystitis is upper abdominal pain. (medscape.com)
  • If the doctor thinks you have acute cholecystitis symptoms, they'll refer you to the hospital immediately for more tests and treatment. (livi.co.uk)
  • Cholecystitis is suspected based on symptoms and laboratory testing. (wikipedia.org)
  • People with cholecystitis most commonly have symptoms of biliary colic before developing cholecystitis. (wikipedia.org)
  • The symptoms of empyema are similar to uncomplicated cholecystitis but greater severity: high fever, severe abdominal pain, more severely elevated white blood count. (wikipedia.org)
  • Generally, only persons with symptoms related to the presence of gallstones (e.g., steady, nonparoxysmal pain lasting four to six hours located in the upper abdomen) or complications (such as acute cholecystitis or gallstone pancreatitis) warrant surgical intervention. (aafp.org)
  • Once symptoms begin, recurrent pain is common, and complications such as cholecystitis and pancreatitis are more likely to develop. (aafp.org)
  • Acute cholecystitis sometimes displays symptoms and electrocardiographic changes mimicking cardiovascular problems. (biomedcentral.com)
  • Adams-Stokes syndrome, one patient) owing to their symptoms were subsequently diagnosed with acute cholecystitis. (biomedcentral.com)
  • Due to the similarity of symptoms, it is sometimes difficult to make a differential diagnosis between a biliary system disease, such as acute cholecystitis, and cardiovascular disorders [ 1 - 3 ]. (biomedcentral.com)
  • Acute cholecystitis was diagnosed by imaging modalities that were performed owing to suspected accompanying clinical symptoms such as fever and abdominal pain, and abnormalities in hepatobiliary and/or inflammatory laboratory data. (biomedcentral.com)
  • It is not clear whether chronic cholecystitis causes any symptoms. (adam.com)
  • Contact your provider if you develop symptoms of cholecystitis. (adam.com)
  • X-Ray abdomen is of limited value in acute cholecystitis as only 15-20% of gallstones are visible on an X-Ray. (wikidoc.org)
  • The main symptom of acute cholecystitis is sudden, sharp pain in the upper right-hand side of the abdomen (tummy). (livi.co.uk)
  • He has been admitted to the hospital because of his acute pain in his abdomen and back. (nursinganswers.net)
  • After this finding, the provider ordered a computed tomography (CT) scan of his abdomen, and the results showed acute cholecystitis. (nursinganswers.net)
  • In patients with AAC caused by viruses or rheumatic disease , the acute abdomen can be adequately managed by conservative treatment of the underlying etiology and does not mandate surgical intervention. (bvsalud.org)
  • Pain from the gallbladder (biliary colic or cholecystitis) typically is felt in your middle, upper abdomen, or your right upper abdomen near where your gallbladder is located. (rxlist.com)
  • Acute pancreatitis typically causes severe, unrelenting, steady pain in your upper abdomen and upper back. (rxlist.com)
  • This is a CT scan of the upper abdomen showing cholecystitis (gall stones). (mountsinai.org)
  • They usually present as acute abdomen. (bvsalud.org)
  • These patients none the less present with other causes of acute abdomen like others without hemoglobinopathy. (bvsalud.org)
  • Six cases of surgical acute abdomen in sickle cell disease patients treated in the University of Port Harcourt Teaching Hospital (UPTH) are presented. (bvsalud.org)
  • Abdominal ul- dle East and South America especially acute abdomen in one governorate in trasonography demonstrated parallel in under-developed countries where Egypt. (who.int)
  • riumbilical abdominal pain not referred the patient's mother gave a history of The most common causes of acute to other sites, vomiting and constipa- expulsion of one very big worm from abdomen are acute appendicitis, acute tion for 3 days. (who.int)
  • Emergency surgical derness and rigidity in the central and to collect worms to the jejunum to fa- treatment may be necessary in acute mid-abdomen. (who.int)
  • Chronic Cholecystitis Chronic cholecystitis is long-standing gallbladder inflammation almost always due to gallstones. (msdmanuals.com)
  • Chronic cholecystitis almost always results from gallstones. (msdmanuals.com)
  • Without treatment, chronic cholecystitis may occur. (wikipedia.org)
  • Rupture can also occur in cases of chronic cholecystitis. (wikipedia.org)
  • Chronic cholecystitis is swelling and irritation of the gallbladder that continues over time. (adam.com)
  • Most of the time, chronic cholecystitis is caused by repeated attacks of acute (sudden) cholecystitis. (adam.com)
  • Acute cholecystitis is a painful condition that leads to chronic cholecystitis. (adam.com)
  • CT scanning is a secondary imaging test that can identify extrabiliary disorders and complications of acute cholecystitis when US has not yielded a clear diagnosis. (medscape.com)
  • Treatment of cholecystitis depends on the severity of the condition and the presence or absence of complications. (medscape.com)
  • 3 Bedirli A, Sakrak O, Sozuer EM, Kerek M, Guler I. Factors effecting the complications in the natural history of acute cholecystitis. (autopsyandcasereports.org)
  • Complications of acute cholecystitis include gallstone pancreatitis, common bile duct stones, or inflammation of the common bile duct. (wikipedia.org)
  • A number of complications may occur from cholecystitis if not detected early or properly treated. (wikipedia.org)
  • Complications include the following: Gangrene Gallbladder rupture Empyema Fistula formation and gallstone ileus Rokitansky-Aschoff sinuses Cholecystitis causes the gallbladder to become distended and firm. (wikipedia.org)
  • Factors effecting the complications in the natural history of acute cholecystitis. (ijabbr.com)
  • Acute myocardial infarction and the complications 17. (muni.cz)
  • Acute Care Surgery during the COVID-19 pandemic in Spain: Changes in volume, causes and complications. (cdc.gov)
  • In most cases (90%), acute cholecystitis is caused by obstruction of the cystic duct due to a stone in the gallbladder neck or cystic duct, which leads to inflammation within the gallbladder wall. (bmj.com)
  • Acute cholecystitis, biliary obstruction and biliary leakage. (bmj.com)
  • Cholecystitis occurs when obstruction at the cystic duct is prolonged (usually several hours) resulting in inflammation of the gallbladder wall. (medscape.com)
  • Liraglutide "has drawn the most attention" about this risk, and a post-hoc analysis of the LEADER trial found a significantly increased risk of acute biliary obstruction with liraglutide versus placebo. (medscape.com)
  • A. every year, usually as a result of intestinal 10 March 2012, with acute colicky pe- lumbricoides infection was suspected as obstruction [5-7]. (who.int)
  • Moreover, there were repeated pancreatitis, intestinal obstruction, acute lor and appeared poorly nourished. (who.int)
  • In 2007, the Tokyo Guidelines for the management of acute cholangitis and cholecystitis (TG07) were first published in the Journal of Hepato-Biliary-Pancreatic Surgery. (keyopinionleaders.com)
  • BACKGROUND: The Tokyo Guidelines for the management of acute cholangitis and cholecystitis (TG07) were published in 2007 as the world's first guidelines for acute cholangitis and cholecystitis. (keyopinionleaders.com)
  • Acute hemorrhagic cholecystitis is a rare, life-threatening condition that can be further complicated by perforation of the gallbladder. (autopsyandcasereports.org)
  • 4 Kwok A, Chern TY, Winn R. Acute cholecystitis and gallbladder perforation leading to massive haemoperitoneum in a patient taking rivaroxaban. (autopsyandcasereports.org)
  • Gallbladder perforation and massive intra-abdominal haemorrhage complicating acute cholecystitis in a patient with haemophilia A. BMJ Case Reports . (autopsyandcasereports.org)
  • 8 Alvi A, Ajmal S, Saleem T. Acute free perforation of gall bladder encountered at initial presentation in a 51 years old man: a case report. (autopsyandcasereports.org)
  • 10 Vijendren A, Cattle K, Obichere M. Spontaneous haemorrhagic perforation of gallbladder in acute cholecystitis as a complication of antiplatelet, immunosuppressant and corticosteroid therapy. (autopsyandcasereports.org)
  • The absence of physical findings, however, does not rule out the diagnosis of cholecystitis. (medscape.com)
  • MRI, often with IV gadolinium-based contrast medium, is also a possible secondary choice for confirming a diagnosis of acute cholecystitis. (medscape.com)
  • Abdominal X-Ray does not aid diagnosis of acute cholecystitis. (wikidoc.org)
  • A validation study of TG07 has shown that the diagnostic criteria for acute cholecystitis are highly reliable but that the definition of definite diagnosis is ambiguous. (keyopinionleaders.com)
  • Patients with longer-lasting biliary pain, in combination with abdominal tenderness, fever, and/or leukocytosis, require an ultrasound evaluation to help establish a diagnosis of acute cholecystitis. (aafp.org)
  • Lipase testing is indicated in acute pancreatitis, as well as in the diagnosis of peritonitis, strangulated or infarcted bowel, and pancreatic cyst. (medscape.com)
  • None of the available tests meet all criteria (establishing the diagnosis accurately, providing early assessment of its severity, identifying the cause) for an ideal laboratory test in the evaluation of a patient with acute pancreatitis. (medscape.com)
  • Nevertheless, serum amylase and lipase are considered important tests in the diagnosis of acute pancreatitis. (medscape.com)
  • Acute cholecystitis is inflammation of the gallbladder, usually caused by a gallstone blocking the cystic duct. (livi.co.uk)
  • Acute cholecystitis is inflammation of the gallbladder. (livi.co.uk)
  • Acute cholecystitis treatment usually involves a stay in the hospital to control the inflammation in your gallbladder. (livi.co.uk)
  • Acute cholecystitis treatment usually results in the gallstones falling back into the gallbladder and the inflammation and pain settling down. (livi.co.uk)
  • But most people with acute cholecystitis will eventually need an operation to remove their gallbladder because the inflammation comes back. (livi.co.uk)
  • Acute cholecystitis is inflammation of the gallbladder that develops over hours, usually because a gallstone obstructs the cystic duct. (msdmanuals.com)
  • When a stone becomes impacted in the cystic duct and persistently obstructs it, acute inflammation results. (msdmanuals.com)
  • Because of the inflammation, its size can be felt from the outside of the body in 25-50% of people with cholecystitis. (wikipedia.org)
  • Untreated cholecystitis can lead to worsened inflammation and infected bile that can lead to a collection of pus inside the gallbladder, also known as empyema. (wikipedia.org)
  • The inflammation of cholecystitis can lead to adhesions between the gallbladder and other parts of the gastrointestinal tract, most commonly the duodenum. (wikipedia.org)
  • The presence of gallstones can lead to inflammation of the gallbladder ( cholecystitis ) or the biliary tree ( cholangitis ) or acute inflammation of the pancreas ( pancreatitis ). (wikipedia.org)
  • CT scanning with intravenous (IV) contrast medium is useful in diagnosing acute cholecystitis in patients with nonspecific abdominal pain. (medscape.com)
  • What is the best practice management for patients with acute cholecystitis? (sages.org)
  • We assessed the best practice management for patients with acute cholecystitis (AC) according to our own experience. (sages.org)
  • Most patients have had prior attacks of biliary colic or acute cholecystitis. (msdmanuals.com)
  • Materials and Methods: We analyzed all patients admitted to our Emergency Department for Acute cholecystitis between February 1, 2020, and December 31, 2021, and graded each case according to the 2018 Tokyo Guidelines. (ulutasmedicaljournal.com)
  • Acute cholecystitis develops in approximately 20% of patients with biliary colic if they are left untreated. (medscape.com)
  • Risk factors for biliary colic and cholecystitis include pregnancy, elderly population, obesity, certain ethnic groups (Northern European and Hispanic), weight loss, and liver transplant patients. (medscape.com)
  • Background This study provides a global overview of the management of patients with acute cholecystitis during the initial phase of the COVID-19 pandemic. (unime.it)
  • Methods CHOLECOVID is an international, multicentre, observational comparative study of patients admitted to hospital with acute cholecystitis during the COVID-19 pandemic. (unime.it)
  • Results This study collected data on 9783 patients with acute cholecystitis admitted to 247 hospitals across the world. (unime.it)
  • Conclusion CHOLECOVID provides a unique overview of the treatment of patients with cholecystitis across the globe during the first months of the SARS-CoV-2 pandemic. (unime.it)
  • Histological studies indicated the presence of microscopic evidence of acute cholecystitis in all patients, of which 19 had histological evidence of Gangrenous Cholecystitis. (ijabbr.com)
  • Standardization of surgeon-controlled variables: impact on outcome in patients with acute cholecystitis. (qxmd.com)
  • How we approach titrating PEEP in patients with acute hypoxemic failure. (qxmd.com)
  • [6] Patients usually have normal vital signs with biliary colic, whereas patients with cholecystitis are usually febrile and more ill appearing. (wikipedia.org)
  • We analyzed the clinical characteristic of the cardiac patients who were diagnosed with acute cholecystitis during hospitalization in the cardiology department. (biomedcentral.com)
  • Using the department database, we identified 16 patients who were diagnosed with acute cholecystitis during the hospitalization in the cardiology department between June 2010 and June 2014. (biomedcentral.com)
  • Two of these patients showed electrocardiographic changes mimicking myocardial ischemia, and three tested positive for a biomarker (heart-type fatty acid binding protein) of acute myocardial injury. (biomedcentral.com)
  • The 11 remaining cardiac patients were diagnosed with acute cholecystitis during their hospitalization or at the time of admission. (biomedcentral.com)
  • Although the exact mechanisms are poorly understood, laboratory data mimicking cardiovascular disease, such as elevation of cardiac troponin [ 4 ] and changes in electrocardiogram (ECG) data suggestive of ischemic heart disease [ 1 , 5 ], may also occur among patients with cholecystitis. (biomedcentral.com)
  • From the database, we identified 18 patients who were diagnosed with acute cholecystitis during their hospitalization in the cardiology department. (biomedcentral.com)
  • group 2 included 11 patients who were admitted with a cardiac condition and cholecystitis developed during their hospitalization or coexisted at the time of admission. (biomedcentral.com)
  • Antimicrobial therapy is a mainstay of the management for patients with acute cholangitis and/or cholecystitis. (researchgate.net)
  • Materials and Methods: Six sickle cell anaemia patients presenting with acute abdominal conditions from 1999 to 2008 (inclusive) in the University of Port Harcourt Teaching Hospital were studied retrospectively (two patients) and prospectively (four patients). (bvsalud.org)
  • Conclusion: Sickle cell anaemia patients are not exempt from acute abdominal conditions requiring surgery. (bvsalud.org)
  • Lipase testing is indicated in acute pancreatitis. (medscape.com)
  • Serum lipase is a more reliable diagnostic marker of acute pancreatitis than serum amylase. (medscape.com)
  • [ 6 , 7 ] since its activity remains increased for longer periods (up to 8-14 days), and an increased sensitivity in acute alcoholic pancreatitis. (medscape.com)
  • Acute gangrenous cholecystitis - this happens when tissue in the gallbladder dies (gangrene). (livi.co.uk)
  • Introduction: The aim of this study was to determine factors affecting the development of acute cholecystitis toward gangrenous cholecystitis in an Iranian society. (ijabbr.com)
  • In this study, nine variables that could be effective on the prognosis of acute cholecystitis and its progression toward the Gangrenous Cholecystitis were identified. (ijabbr.com)
  • Conclusion: In this study, it was observed that high age, diabetes mellitus and leukocytosis could lead to the development of acute cholecystitis toward Gangrenous Cholecystitis, a finding that requires more extensive studies with more sample size. (ijabbr.com)
  • Prognostic parameters for the prediction of acute gangrenous cholecystitis. (ijabbr.com)
  • 2003). Prognostic factors for the development of gangrenous cholecystitis. (ijabbr.com)
  • Gangrenous Cholecystitis: A Contemporary Review. (ijabbr.com)
  • Factors Affecting Morbidity and Mortality in Gangrenous Cholecystitis. (ijabbr.com)
  • 2000). Gangrenous cholecystitis in the laparascopic era. (ijabbr.com)
  • 1981). Gangrene of the gallbladder: a complication of acute cholecystitis. (ijabbr.com)
  • Other causes of acute cholecystitis include bile duct problems, tumours, severe illness, and certain infections. (livi.co.uk)
  • The pain becomes severe and constant in cholecystitis. (wikipedia.org)
  • Although gallstones and cholecystitis are more common in women, men with gallstones are more likely to develop cholecystitis (and more severe cholecystitis) than women with gallstones. (medscape.com)
  • Abdominal pain can range in intensity from a mild stomach ache to severe, acute pain. (rxlist.com)
  • Severe Acute Respiratory Distress Syndrome (ARDS) or Severely Increased Chest Wall Elastance? (cdc.gov)
  • the incidence of ACC is about 5-15% of all cases of cholecystitis, of which 47% occur after surgical procedure, and the other percentage due to prolonged immobilization, starvation for a long time, and sepsis [ 1 - 3 ]. (hindawi.com)
  • Although many centers had to prefer non-surgical methods in the treatment of acute cholecystitis, we did not turn to alternative treatments because there was no emergency surgery restriction in our hospital. (ulutasmedicaljournal.com)
  • Acute coronary syndrome 27. (muni.cz)
  • During the course of acute hepatitis, gallbladder wall oedema and slowing of bile clearance which may lead to the formation of bile sludge and thickening of the gallbladder wall [ 7 - 9 ]. (hindawi.com)
  • Age increases rates of gallstones, cholecystitis, and common bile duct stones. (medscape.com)
  • Do you have acute abdominal pain that came on suddenly or did the pain start gradually and worsen? (rxlist.com)
  • His attacks of vague abdominal pain, colic peritonitis and acute pyelonephritis [8]. (who.int)
  • Acute cholecystitis is most often caused by a gallstone blocking the gallbladder's main opening called the cystic duct. (livi.co.uk)
  • More than 90% of the time acute cholecystitis is caused from blockage of the cystic duct by a gallstone. (wikipedia.org)
  • The Cox proportional hazard model was used to determine the effect on survival of urgent surgery for acute cholecystitis and of the other common factors such as age, gender, tumor grading, pT stage, nodal involvement, residual disease at re-exploration, and American Joint Committee on Cancer stage. (unicatt.it)
  • p = 0.002), residual disease at re-exploration [hazard ratios (HR) = 7.760, p = 0.004], and urgent surgery for acute cholecystitis (HR = 5.436, p = 0.012) were independent predictors of poor prognosis. (unicatt.it)
  • Common postbariatric surgery emergencies for the acute care surgeon: What you need to know. (qxmd.com)
  • In mediation analysis, an admission with acute cholecystitis during the pandemic was associated with a non-significant increased risk of death (OR 1.29, 95 per cent c.i. 0.93 to 1.79, P = 0.121). (unime.it)
  • Diagnostic Delay During the COVID-19 Pandemic: Liver Abscess Secondary to Acute Lithiasic Cholecystitis. (cdc.gov)
  • Acute cholecystitis during COVID-19 pandemic: a multisocietary position statement. (cdc.gov)
  • The diagnostic criteria and severity assessment of acute cholecystitis have since been widely used all over the world. (keyopinionleaders.com)
  • In cases of mild, uncomplicated acute cholecystitis, outpatient treatment may be appropriate. (medscape.com)
  • Without appropriate treatment, recurrent episodes of cholecystitis are common. (wikipedia.org)
  • Treatment of acute myocardial infarction 18. (muni.cz)
  • only few cases are reported as ACC associated with acute hepatitis B virus infection. (hindawi.com)
  • Limited number of cases of ACC were reported to be associated with acute viral hepatitis A infection [ 5 , 10 - 13 ] and only one case reported with hepatitis B infection [ 14 ]. (hindawi.com)
  • We would like to present here a second reported case of ACC associated with an acute hepatitis B virus infection [ 14 ]. (hindawi.com)
  • We describe a patient with clinical and radiologic findings of acute cholecystitis with a gallbladder rupture and massive intra-abdominal bleeding. (autopsyandcasereports.org)
  • 9 Kinnear N, Hennessey DB, Thomas R. Haemorrhagic cholecystitis in a newly anticoagulated patient. (autopsyandcasereports.org)
  • Often gallbladder attacks (biliary colic) precede acute cholecystitis. (wikipedia.org)