Gallstone disease laboratory findings: Difference between revisions
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==Overview== | ==Overview== | ||
Laboratory findings are usually normal among patients with uncomplicated gallstone disease, both during asymptomatic periods and during attacks of pain. Abnormal blood tests (leukocytosis, elevated liver or pancreas tests) suggest the development of a complication of gallstone disease, such as [[cholecystitis]], [[cholangitis]], or [[pancreatitis]]. | There are no diagnostic laboratory findings associated with an uncomplicated case of gallstone disease. Laboratory findings are usually normal among patients with uncomplicated gallstone disease, both during asymptomatic periods and during attacks of pain. Abnormal blood tests (leukocytosis, elevated liver or pancreas tests) suggest the development of a complication of gallstone disease, such as [[cholecystitis]], [[cholangitis]], or [[pancreatitis]]. | ||
==Laboratory Findings== | ==Laboratory Findings== | ||
* | Laboratory studies may include: | ||
* | |||
*Liver biochemical tests: | |||
** | **Serum [[aminotransferases]] | ||
**Total [[bilirubin]] | |||
**[[Alkaline phosphatase]]) | |||
**[[ | ***These may be abnormal in patients with [[hepatitis]], biliary tract obstruction, or (less commonly) acute [[cholecystitis]] | ||
*Serum [[amylase]] | |||
*Serum [[lipase]] | |||
**These are elevated in [[acute pancreatitis]] | |||
*[[Complete blood count|Complete blood count]] | |||
**Which may show an elevated [[White blood cell|white blood cell count]] in patients with acute [[cholecystitis]] or acute [[cholangitis]] | |||
*Urine analysis | |||
**Which may show indicate a [[urinary tract infection]] or ureteral [[calculi]]<ref name="pmid23533021">{{cite journal |vauthors=Poupon R, Rosmorduc O, Boëlle PY, Chrétien Y, Corpechot C, Chazouillères O, Housset C, Barbu V |title=Genotype-phenotype relationships in the low-phospholipid-associated cholelithiasis syndrome: a study of 156 consecutive patients |journal=Hepatology |volume=58 |issue=3 |pages=1105–10 |year=2013 |pmid=23533021 |doi=10.1002/hep.26424 |url=}}</ref><ref name="pmid8363172">{{cite journal |vauthors=Ransohoff DF, Gracie WA |title=Treatment of gallstones |journal=Ann. Intern. Med. |volume=119 |issue=7 Pt 1 |pages=606–19 |year=1993 |pmid=8363172 |doi= |url=}}</ref> | |||
==References== | ==References== | ||
Revision as of 17:52, 7 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]
Overview
There are no diagnostic laboratory findings associated with an uncomplicated case of gallstone disease. Laboratory findings are usually normal among patients with uncomplicated gallstone disease, both during asymptomatic periods and during attacks of pain. Abnormal blood tests (leukocytosis, elevated liver or pancreas tests) suggest the development of a complication of gallstone disease, such as cholecystitis, cholangitis, or pancreatitis.
Laboratory Findings
Laboratory studies may include:
- Liver biochemical tests:
- Serum aminotransferases
- Total bilirubin
- Alkaline phosphatase)
- These may be abnormal in patients with hepatitis, biliary tract obstruction, or (less commonly) acute cholecystitis
- Serum amylase
- Serum lipase
- These are elevated in acute pancreatitis
- Complete blood count
- Which may show an elevated white blood cell count in patients with acute cholecystitis or acute cholangitis
- Urine analysis
- Which may show indicate a urinary tract infection or ureteral calculi[1][2]
References
- ↑ Poupon R, Rosmorduc O, Boëlle PY, Chrétien Y, Corpechot C, Chazouillères O, Housset C, Barbu V (2013). "Genotype-phenotype relationships in the low-phospholipid-associated cholelithiasis syndrome: a study of 156 consecutive patients". Hepatology. 58 (3): 1105–10. doi:10.1002/hep.26424. PMID 23533021.
- ↑ Ransohoff DF, Gracie WA (1993). "Treatment of gallstones". Ann. Intern. Med. 119 (7 Pt 1): 606–19. PMID 8363172.