Presentation
Abdominal pain is the most common chief complaint of patients presenting to the emergency department in the United States, and emergency physicians routinely encounter patients with postcholecystectomy syndrome. [ncbi.nlm.nih.gov]
Entire Body System
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Pseudotumor
These lesions can mimic a pseudotumor and present as small enhancing lesion that may or may not cause biliary obstruction near the clip or stump site [20] [Figure 5]. [ijri.org]
Gastrointestinal
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Fat Intolerance
intolerance 1.3 0.83 43 68 Tenderness of upper abdomen 1.3 0.73 62 53 Food intolerance 1.2 0.86 51 57 Upper abdominal pain 1.2 0.74 68 43 Acute cholecystitis Murphy sign* (general population) 5.0 0.4 65 87 Chills 2.6 0.9 13 95 Right upper quadrant pain [aafp.org]
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Tenderness in the Right Upper Quadrant
To assess for the latter risks, the patient is observed for severe pain and tenderness in the right upper quadrant, an increase in abdominal girth, leakage of bile-colored drainage from the puncture site, a fall in blood pressure, and increased heart [medical-dictionary.thefreedictionary.com]
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Pelvic Mass
Vaginal extraction of pelvic masses following operative laparoscopy. Surg Endosc. 2002;16:1691–6. doi: 10.1007/s00464-002-9043-z. PubMed CrossRef Google Scholar 40. Varadarajulu S, Tamhane A, Drelichman ER. [doi.org]
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Recurrent Abdominal Pain
Recurrent abdominal pain, particularly in the right upper quadrant (RUQ) in a patient with a history of cholecystectomy, known as postcholecystectomy syndrome, requires a broad differential diagnosis. [ncbi.nlm.nih.gov]
Skin
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Flushing
In the days before your procedure you may be given a prescription solution that flushes stool out of your intestines. Eat nothing the night before your surgery. [mayoclinic.org]
Urogenital
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Dyspareunia
Moreover, several studies reported no dyspareunia or difference in return to sexual activity between TVC and CLC groups after short-term follow-up[ 47 - 49 ]. [doi.org]
Workup
On workup, she was found to have gall stones, and her condition was at last attributed to biliary colic after months of follow-up in the Department of Pediatrics. [ncbi.nlm.nih.gov]
Medically unstable conditions warranting further evaluation include: Well-documented coronary heart disease associated with angina after strenuous exercise usually does not need any additional preoperative workup. [clinicalpainadvisor.com]
A cholecystokinin-HIDA scan is helpful in patients with suspected gallstones, but who have normal findings on ultrasonography and workup for their symptoms (e.g., upper endoscopy, upper gastrointestinal series, negative Helicobacter pylori serology). [aafp.org]
X-Ray
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Nonvisualization of the Gallbladder
No study that we encountered looked at nonvisualization of the gallbladder (GB) during surgery as a risk factor. [ncbi.nlm.nih.gov]
Treatment
What Are the Alternative Medical and Surgical Treatments of Gallstone Disease? In the past 20 years, a variety of treatment options for gallstone disease have been developed. [consensus.nih.gov]
Maybe a new treatment scale containing these data should be created for the treatment of acute cholecystitis. [panafrican-med-journal.com]
It consists of treatment with intravenous antibiotics and fluids. [en.wikipedia.org]
Prognosis
Normal results The prognosis for cholecystitis and cholelithaisis patients who receive cholecystectomy is generally good. Overall, cholecystectomy relieves symptoms in about 95% of cases. [surgeryencyclopedia.com]
Normal results The prognosis for cholecystitis and cholelithiasis patients who receive cholecystectomy is generally good. Overall, cholecystectomy relieves symptoms in about 95% of cases. [encyclopedia.com]
Prognosis A small number of people are affected with post cholecystectomy syndrome, which has symptoms like gastrointestinal distress and/or constant pain in the right upper quadrant of the abdomen. [healthpages.org]
Etiology
Pathology of a retained gallbladder remnant is an exceedingly rare etiology of this pain. [ncbi.nlm.nih.gov]
The primary etiology of acute cholangitis/cholecystitis is the presence of stones. Next to stones, the most significant etiology of acute cholangitis is benign/malignant stenosis of the biliary tract. [doi.org]
Introduction Acute pancreatitis is a common gastrointestinal disorder and in the majority of patients the etiology is either alcohol-associated or biliary, i.e. caused by gallstones or sludge (37, 40),. [pancreapedia.org]
Epidemiology
Davies is affiliated with the MRC Integrative Epidemiology Unit [MC_UU_12013/9], which receives funding from the Medical Research Council (MRC) and the University of Bristol. Dr. [doi.org]
The epidemiology of pancreatitis and pancreatic cancer. Gastroenterology 144(6): 1252-1261, 2013. PMID: 23622135. Yadav D and Lowenfels AB. Trends in the epidemiology of the first attack of acute pancreatitis: a systematic review. [pancreapedia.org]
Rome Group for the Epidemiology and Prevention of Cholelithiasis (GREPCO). Am J Epidemiol. 1984; 119:796-805. Patino JF, Quintero GA. – Asyptomatic Cholelitiasis Revited. World J Surg. 1998; 22:1119-24. [revistas.unifoa.edu.br]
Pathophysiology
The exact pathophysiological process by which this occurs is not clearly understood but is thought to involve involution of the cystic duct with the attached clip into the lumen of the common bile duct as a consequence of compression by local structures [academic.oup.com]
Gadacz Article First Online: 30 January 2007 Abstract This article discusses the definitions, pathophysiology, and epidemiology of acute cholangitis and cholecystitis. [doi.org]
Pulmonary pathophysiology. The essentials, pp. 1 [24.] M.D. Altose, R.O. Crapo, A. Wanner The determination of static lung volumes Chest, 86 (1984), pp. 471-489 [25.] P.H. Quanjer, G.J. Tammeling, J.E. Cotes, O.F. Pedersen, R. Peslin, J.C. [archbronconeumol.org]
The increased incidence of postoperative pulmonary complications in patients with COPD is caused by the combination of the pulmonary pathophysiology and comorbidities, often cardiac disease. [clinicalpainadvisor.com]
Prevention
Indications to Laparoscopic Cholecystectomy -- Biliary Tree Stones -- Laparoscopy and Acute Cholecystitis: The Evidence -- Number of Trocars, Types of Dissection, Exploration of Bile Duct, Drainage and Analgesia -- Complications: How to Prevent and [worldcat.org]
Once a child is diagnosed with symptomatic cholilithiasis, cholecystectomy is required to relieve the symptoms and prevent complication. [ncbi.nlm.nih.gov]
Following the surgery, a healthy diet consisting of small, frequent meals is important to prevent complications, pain and diarrhea. [livestrong.com]
What Are the Future Directions for Research in the Prevention and Management of Gallstone Disease, and in Laparoscopic Surgery? Current strategies are not aimed at the primary prevention of gallstones. [consensus.nih.gov]