Gallbladder Infection or Cholecystitis

Gallbladder Inflammation (Cholecystitis): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin, mucous membranes, and sclerae (white part of the eye) [accompanying symptom: jaundice]. Abdomen (abdomen) Shape of the abdomen? Skin color? Skin texture? Efflorescences (skin changes)? … Gallbladder Inflammation (Cholecystitis): Examination

Gallbladder Inflammation (Cholecystitis): Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count [leukocytosis (increase in leukocytes (white blood cells) in the blood)] Differential blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Liver parameters – alanine aminotransferase (ALT, GPT), aspartate aminotransferase (AST, GOT), glutamate dehydrogenase (GLDH), gamma-glutamyl transferase (γ-GT, gamma-GT; … Gallbladder Inflammation (Cholecystitis): Test and Diagnosis

Gallbladder Inflammation (Cholecystitis): Drug Therapy

Therapeutic targets Freedom from symptoms Elimination of pathogens, if necessary (as far as bacterial cholecystitis is present; about 85% of cases). Avoidance of complications Therapy recommendations Analgesia (pain relief) for biliary colic, depending on the severity of colic: For mild colic, prefer butylscopolamine (parasympatholytic), rectal (“into the rectum“), or parenteral (“bypassing the intestine”) administration and/or … Gallbladder Inflammation (Cholecystitis): Drug Therapy

Gallbladder Inflammation (Cholecystitis): Diagnostic Tests

Obligatory medical device diagnostics. Abdominal ultrasonography (ultrasound examination of abdominal organs; in this case, gallbladder and liver); first-line method for suspected cholecystitis. [Findings: Edematous thickened gallbladder wall with echo-poor rim 3-4 cm long duct connecting the gallbladder to the ductus hepaticus; with/without perivesical fluid; in approximately 90% of cases, there is a temporary extension of … Gallbladder Inflammation (Cholecystitis): Diagnostic Tests

Gallbladder Inflammation (Cholecystitis): Surgical Therapy

According to the current S3 guideline, in acute cholecystitis (gallbladder inflammation), laparoscopic cholecystectomy should be performed early, i.e., within 24 hours of hospital admission, to prevent complications. See also under “Further notes”. 1st order Cholecystectomy (CHE; CCE; removal of the gallbladder) – can be either. Open-surgically via laparotomy (abdominal incision; open CCE or performed laparoscopically … Gallbladder Inflammation (Cholecystitis): Surgical Therapy

Gallbladder Inflammation (Cholecystitis): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate cholecystitis (gallbladder inflammation): Leading symptoms Pain in the right upper abdomen, which may radiate between the shoulder blades and into the right shoulder (older patients are up to 25% painless or have only mild, atypical pain!). Loss of appetite Nausea/vomiting Fever/chills (older patients are up to 30% without … Gallbladder Inflammation (Cholecystitis): Symptoms, Complaints, Signs

Gallbladder Inflammation (Cholecystitis): Causes

Pathogenesis (development of disease) Cholecystitis occurs in the majority of cases as a complication of cholecystolithiasis (gallstone disease). The stone obstructs the ductus cysticus (gallbladder duct). In up to 85% of cases, bacteria are found in the gallbladder in cholecystitis. The most common pathogens include Escherichia coli, Streptococcus faecalis (enterococci), Klebsiellen, Enterobacter, and Clostridium perfringens. … Gallbladder Inflammation (Cholecystitis): Causes

Gallbladder Inflammation (Cholecystitis): Therapy

General measures Inpatient admission! Aim for normal weight! Determination of BMI (body mass index, body mass index) or body composition by means of electrical impedance analysis and, if necessary, participation in a medically supervised weight loss program. Regular check-ups Regular medical checkups Nutritional medicine Nutritional counseling based on nutritional analysis Observance of the following specific … Gallbladder Inflammation (Cholecystitis): Therapy

Gallbladder Inflammation (Cholecystitis): Complications

The following are the most important diseases or complications that can be caused by cholecystitis (gallbladder inflammation): Liver, gallbladder, and bile ducts – Pancreas (pancreatitis) (K70-K77; K80-K87). Cholangitis – inflammation of the bile ducts. Chronic recurrent cholecystitis (gallbladder inflammation). Gallbladder empyema – accumulation of pus in the gallbladder. Gallbladder hydrops – gallbladder enlargement due to … Gallbladder Inflammation (Cholecystitis): Complications

Gallbladder Inflammation (Cholecystitis): Medical History

Medical history (history of illness) is an important component in the diagnosis of cholecystitis (gallbladder inflammation). Family history Are there any diseases of the gallbladder in your family that are common? Social history Current medical history/systemic history (somatic and psychological complaints). Have you noticed any pain in the upper abdomen? Is the pain localized on … Gallbladder Inflammation (Cholecystitis): Medical History

Gallbladder Inflammation (Cholecystitis): Or something else? Differential Diagnosis

Endocrine, nutritional, and metabolic diseases (E00-E90). Diabetes mellitus (diabetes). Food intolerance such as lactose intolerance and fructose intolerance. Porphyria or acute intermittent porphyria (AIP); genetic disease with autosomal dominant inheritance; patients with this disease have a 50 percent reduction in the activity of the enzyme porphobilinogen deaminase (PBG-D), which is sufficient for porphyrin synthesis. Triggers … Gallbladder Inflammation (Cholecystitis): Or something else? Differential Diagnosis