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May 2
Definitive treatment of acute cholecystitis typically involves surgical removal of the gallbladder, a procedure known as cholecystectomy. This is usually done laparoscopically, where small incisions are made in the abdomen to remove the gallbladder. In some cases, an open cholecystectomy may be necessary.
Findings of investigations done for acute cholecystitis may include:
1. Abdominal ultrasound: This can show signs of inflammation in the gallbladder, such as thickening of the gallbladder wall or the presence of gallstones.
2. Blood tests: Elevated levels of white blood cells and liver enzymes may indicate inflammation or infection.
3. CT scan or MRI: These imaging tests can provide more detailed information about the gallbladder and surrounding structures.
4. HIDA scan: This test involves injecting a radioactive tracer into the body to assess the function of the gallbladder.
Complications of acute cholecystitis may include:
1. Gangrenous cholecystitis: This occurs when the gallbladder becomes severely inflamed and infected, leading to tissue death.
2. Empyema: This is a collection of pus within the gallbladder, which can lead to a serious infection.
3. Perforation: In severe cases, the gallbladder may rupture, leading to leakage of bile and infection into the abdominal cavity.
4. Biliary obstruction: In some cases, gallstones may block the bile ducts, leading to jaundice and other complications.
Findings of investigations done for acute cholecystitis may include:
1. Abdominal ultrasound: This can show signs of inflammation in the gallbladder, such as thickening of the gallbladder wall or the presence of gallstones.
2. Blood tests: Elevated levels of white blood cells and liver enzymes may indicate inflammation or infection.
3. CT scan or MRI: These imaging tests can provide more detailed information about the gallbladder and surrounding structures.
4. HIDA scan: This test involves injecting a radioactive tracer into the body to assess the function of the gallbladder.
Complications of acute cholecystitis may include:
1. Gangrenous cholecystitis: This occurs when the gallbladder becomes severely inflamed and infected, leading to tissue death.
2. Empyema: This is a collection of pus within the gallbladder, which can lead to a serious infection.
3. Perforation: In severe cases, the gallbladder may rupture, leading to leakage of bile and infection into the abdominal cavity.
4. Biliary obstruction: In some cases, gallstones may block the bile ducts, leading to jaundice and other complications.
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Google Gemini AI
May 2
Definitive Treatment of Acute Cholecystitis:
- Cholecystectomy: Surgical removal of the gallbladder is the definitive treatment. It can be performed laparoscopically (through small incisions) or open (through a larger incision in the abdomen).
Investigations
- Ultrasound: The primary investigation, showing gallstones and/or gallbladder wall thickening, pericholecystic fluid, and edema.
- Hepatobiliary iminodiacetic acid (HIDA) scan: A nuclear medicine scan that assesses gallbladder function and can detect cystic duct obstruction.
- Computed tomography (CT) scan: Provides more detailed images of the gallbladder and surrounding structures, useful in complicated cases or when ultrasound is inconclusive.
Complications of Acute Cholecystitis
1. Empyema of the gallbladder: Pus accumulation within the gallbladder.
2. Gangrene of the gallbladder: Tissue death of the gallbladder.
3. Perforation of the gallbladder: A hole in the gallbladder wall, leading to leakage of bile and infection into the abdominal cavity.
4. Sepsis: A life-threatening infection that spreads throughout the body.
- Cholecystectomy: Surgical removal of the gallbladder is the definitive treatment. It can be performed laparoscopically (through small incisions) or open (through a larger incision in the abdomen).
Investigations
- Ultrasound: The primary investigation, showing gallstones and/or gallbladder wall thickening, pericholecystic fluid, and edema.
- Hepatobiliary iminodiacetic acid (HIDA) scan: A nuclear medicine scan that assesses gallbladder function and can detect cystic duct obstruction.
- Computed tomography (CT) scan: Provides more detailed images of the gallbladder and surrounding structures, useful in complicated cases or when ultrasound is inconclusive.
Complications of Acute Cholecystitis
1. Empyema of the gallbladder: Pus accumulation within the gallbladder.
2. Gangrene of the gallbladder: Tissue death of the gallbladder.
3. Perforation of the gallbladder: A hole in the gallbladder wall, leading to leakage of bile and infection into the abdominal cavity.
4. Sepsis: A life-threatening infection that spreads throughout the body.
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