Cholecystitis overview: Difference between revisions
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==Overview== | ==Overview== | ||
'''Cholecystitis''' is [[inflammation]] of the [[gall bladder]]. | '''Cholecystitis''' is [[inflammation]] of the [[gall bladder]]. | ||
==Historical Perspective== | |||
Xanthogranulomatous cholecystitis (XGC) is a rare form of gall bladder disease which mimics gallbladder cancer although it is not cancerous. It was first discovered and reported in the medical literature in 1976 by J.J. McCoy, Jr., and colleagues.<ref name="pmid19653352">{{cite journal |author=Makino I, Yamaguchi T, Sato N, Yasui T, Kita I |title=Xanthogranulomatous cholecystitis mimicking gallbladder carcinoma with a false-positive result on fluorodeoxyglucose PET |journal=[[World Journal of Gastroenterology : WJG]] |volume=15 |issue=29 |pages=3691–3 |year=2009 |month=August |pmid=19653352 |pmc=2721248 |doi= |url=http://www.wjgnet.com/1007-9327/full/v15/i29/3691.htm |accessdate=2012-08-20}}</ref>. Eosinophilic cholecystitis was first described in 1949.<ref name="pmid8470764">{{cite journal |author=Dabbs DJ |title=Eosinophilic and lymphoeosinophilic cholecystitis |journal=[[The American Journal of Surgical Pathology]] |volume=17 |issue=5 |pages=497–501 |year=1993 |month=May |pmid=8470764 |doi= |url= |accessdate=2012-08-20}}</ref>. | |||
==Diagnosis== | |||
===History and Symptoms=== | |||
Cholecystitis usually presents as a pain in the right upper quadrant. This is usually a constant, severe pain. The pain may be felt to 'refer' to the right flank or right [[scapula]]r region at first. This is usually accompanied by a low grade fever, vomiting and nausea. More severe symptoms such as high fever, [[shock]] and [[jaundice]] indicate the development of complications such as abscess formation, perforation or [[ascending cholangitis]]. Another complication, [[Ileus|gallstone ileus]], occurs if the gallbladder perforates and forms a [[fistula]] with the nearby small bowel, leading to symptoms of [[intestinal obstruction]]. | |||
Chronic cholecystitis manifests with non-specific symptoms such as [[nausea]], vague [[abdominal pain]], [[belching]], and [[diarrhea]]. | |||
==References== | ==References== | ||
Revision as of 00:02, 3 February 2013
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Cholecystitis is inflammation of the gall bladder.
Historical Perspective
Xanthogranulomatous cholecystitis (XGC) is a rare form of gall bladder disease which mimics gallbladder cancer although it is not cancerous. It was first discovered and reported in the medical literature in 1976 by J.J. McCoy, Jr., and colleagues.[1]. Eosinophilic cholecystitis was first described in 1949.[2].
Diagnosis
History and Symptoms
Cholecystitis usually presents as a pain in the right upper quadrant. This is usually a constant, severe pain. The pain may be felt to 'refer' to the right flank or right scapular region at first. This is usually accompanied by a low grade fever, vomiting and nausea. More severe symptoms such as high fever, shock and jaundice indicate the development of complications such as abscess formation, perforation or ascending cholangitis. Another complication, gallstone ileus, occurs if the gallbladder perforates and forms a fistula with the nearby small bowel, leading to symptoms of intestinal obstruction.
Chronic cholecystitis manifests with non-specific symptoms such as nausea, vague abdominal pain, belching, and diarrhea.
References
- ↑ Makino I, Yamaguchi T, Sato N, Yasui T, Kita I (2009). "Xanthogranulomatous cholecystitis mimicking gallbladder carcinoma with a false-positive result on fluorodeoxyglucose PET". World Journal of Gastroenterology : WJG. 15 (29): 3691–3. PMC 2721248. PMID 19653352. Retrieved 2012-08-20. Unknown parameter
|month=ignored (help) - ↑ Dabbs DJ (1993). "Eosinophilic and lymphoeosinophilic cholecystitis". The American Journal of Surgical Pathology. 17 (5): 497–501. PMID 8470764. Unknown parameter
|month=ignored (help);|access-date=requires|url=(help)