What is Xanthomatous cholecystitis?
Xanthogranulomatous cholecystitis (XGC) is a chronic inflammatory disease of the gallbladder characterized by focal or diffuse destructive inflammatory process followed by marked proliferative fibrosis along with infiltration of macrophages and foamy cells.
Is acute cholecystitis an emergency?
Acute cholecystitis is a common surgical emergency. To embark on a policy of early surgery for acute cholecystitis, the diagnosis needs to be accurate. Clinical examination is accurate in 80-85 per cent cases.
How to tell if you have chronic cholecystitis?
Once episodes begin, they are likely to recur. Chronic cholecystitis is suspected in patients with recurrent biliary colic plus gallstones. Ultrasonography or another imaging test usually shows gallstones and sometimes a shrunken, fibrotic gallbladder.
Is there an infecting organism for acute cholecystitis?
Sometimes an infecting organism can be identified (eg, Salmonella species or cytomegalovirus in immunodeficient patients). In young children, acute acalculous cholecystitis tends to follow a febrile illness without an identifiable infecting organism. Most patients have had prior attacks of biliary colic or acute cholecystitis.
What are the symptoms of acute cholecystitis in the right quadrant?
Symptoms include right upper quadrant pain and tenderness, sometimes accompanied by fever, chills, nausea, and vomiting. Abdominal ultrasonography detects the gallstone and sometimes the associated inflammation. Treatment usually involves antibiotics and cholecystectomy. (See also Overview of Biliary Function .)
Can a tear in the gallbladder cause cholecystitis?
Torn gallbladder. A tear (perforation) in your gallbladder may result from gallbladder swelling, infection or death of tissue. You can reduce your risk of cholecystitis by taking the following steps to prevent gallstones: Lose weight slowly.