We report the case of a patient who presented with a life-threatening upper gastro-intestinal bleeding due to erosion of the cystic artery by cholecystolithiasis and cholecystitis. [ncbi.nlm.nih.gov]

• Fever

  Bleeding of a port site required suturing in 1 patient after LCO, and fever with a further uneventful course occurred in another after LCE. The mean duration of hospital stay was 3.0 days after LCO and 2.4 days after LCE. [ncbi.nlm.nih.gov]

  There may be complications as infection (see below) and in these cases will develop a fever may. with chills and more constant pain. [healthanddisease.com]

  The performance of EUS in the diagnosis of occult cholelithiasis was evaluated by Dahan and colleagues.6 They prospectively studied 45 patients with acute idiopathic pancreatitis (n 25) or transient biliary-type pain associated with fever, jaundice, and [doctorabel.us]

  […] involves biliary pain, jaundice, and spiking fevers with chills (Charcot's triad). [errolozdalga.com]

• Camping

  Sicklick JK, Camp MS, Lillemoe KD, Melton GB, Yeo CJ, Campbell KA, Talamini MA, Pitt HA, Coleman J, Sauter PA, Cameron JL: Surgical management of bile duct injuries sustained during laparoscopic cholecystectomy. Ann Surg 2005;241:786-795. [karger.com]

• Pruritus

  […] no vomiting, no diarrhea; no jaundice; no acholic stools; no tea-colored urine Consult: EAMC OPD, scheduled for open cholecystectomy 6 1 week PTA Abdominal pain, RUQ associated with jaundice, undocumented febrile episodes No nausea, no vomiting, no pruritus [slideplayer.com]

  Asthma No previous hospitalizations No allergies to food/drugs Family History Denies heredofamilial diseases Personal and Social History Non smoker Non alcoholic beverage drinker Review of Systems General: no fever, no anorexia, no weight loss Skin: no pruritus [rjaperalta.tripod.com]

  A thorough review of systems will reveal that the patient may have noticed a yellowing of his eyes or skin, experienced pruritus, and possibly nausea or vomiting. [ncbi.nlm.nih.gov]

  […] more common): history of cholelithiasis Clinical features [18][7] Colicky RUQ/epigastric pain More severe and prolonged ( 6 hours) than in cholelithiasis Postprandial Nausea, vomiting Signs of extrahepatic cholestasis: jaundice, pale stool, dark urine, pruritus [amboss.com]

• Hyperalgesia

  There were no significant relations between the hyperalgesia and the clinical findings. CONCLUSION: Cholecystolithiasis leads to significant hyperalgesia in the somatic area, where pain was referred to during the acute attacks. [ncbi.nlm.nih.gov]

Ultrasonography is the initial diagnostic procedure of choice in most cases of suspected gallbladder or biliary tract disease (see Workup). The treatment of gallstones depends upon the stage of disease. [emedicine.medscape.com]

The discussion in this chapter will focus primarily on the workup and manage- ment of patients with syndromes caused by CBD stones. [slideshare.net]

During the 2000s, a critical appraisal of management options[26-28] and the diffusion of new diagnostic examinations led to a more cautious, patient-tailored preoperative workup, based on patient risk of carrying CBDS[3,29,30], and management, based on [wjgnet.com]

RESULTS: Before treatment, the LI, UCB%, BSI and Z-value in the LDG treated group were 1.298 /- 0.265, 34.72 /-2.96, 0.353 /-0.093 and 0.556 /-0.499, respectively, which was decreased after the 2-week treatment to 0.926 /-0.208, 8.93 /-1.19, 0.154 /-0.056 [ncbi.nlm.nih.gov]

[…] ultrasound Magnetic resonance cholangiopancreatography (MRCP) Percutaneous transhepatic cholangiogram (PTCA) Your health care provider may order the following blood tests: Bilirubin Complete blood count (CBC) Liver function tests Pancreatic enzymes Outlook (Prognosis [account.allinahealth.org]

Treatment may involve: Surgery to remove the gallbladder and stones ERCP and a procedure called a sphincterotomy, which makes a surgical cut into the muscle in the common bile duct to allow stones to pass or be removed Outlook (Prognosis) Blockage and [nch.adam.com]

Treatment and prognosis Endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy is the treatment of choice for choledocholithiasis, however, is associated with a complication rate of 5.8-24% (10 years follow-up) 1. [radiopaedia.org]

Because the prognosis is controversial, it is very unusual for any surgical intervention to occur after imaging-based diagnosis of adenomyomatosis itself, but surgical treatments are often considered in cases associated with stones or cholecystitis [synapse.koreamed.org]

[…] blood CF cerebrospinal fluid CI chemically induced CH chemistry CL classification CO complications CN congenital DI diagnosis DG diagnostic imaging DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology EH ethnology ET etiology [decs.bvs.br]

Peak incidence: similar to cholelithiasis Etiology [7][1] Primary choledocholithiasis (less common): conditions predisposing to bile stasis intraductal stone formation Cystic fibrosis Prolonged total parenteral nutrition Secondary choledocholithiasis [amboss.com]

It remains to be investigated whether C. sinensis infection is the etiological factor for cholecystolithiasis. [journals.plos.org]

Allowable Qualifiers English : BL blood CF cerebrospinal fluid CI chemically induced CH chemistry CL classification CO complications CN congenital DI diagnosis DG diagnostic imaging DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology [decs.bvs.br]

Karger AG, Basel References Stinton LM, Shaffer EA: Epidemiology of gallbladder disease: cholelithiasis and cancer. Gut Liver 2012;6:172-187. Chuang SC, His E, Lee KT: Genetics of gallstone disease. Adv Clin Chem 2013;60:143-185. [karger.com]

Cholelithiasis, choledocholithiasis, cholecystitis, and cholangitis Summary Overview Cholelithiasis Epidemiology Etiology Clinical features Diagnostics Treatment Acute management checklist for biliary colic Complications Choledocholithiasis Epidemiology [amboss.com]

Update Date: 6/3/2008 Updated by: Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine. [pacificschoolserver.org]

Review Date: 6/3/2008 Reviewed By: Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine. [lutheranhealthcare.org]

Crohn disease, ileal resection, cystic fibrosis) Pathophysiology: abnormal hepatic cholesterol metabolism cholesterol concentration in bile and bile salts and lecithin hypersaturated bile precipitation of cholesterol and calcium carbonate cholesterol [amboss.com]

Background Occurs when stone expelled from gallbladder becomes impacted in the common bile duct If infected, becomes Cholangitis Anatomy & Pathophysiology Gallstones are classified as cholesterol stones and pigmented stones (black and brown), and are [wikem.org]

Leakage of bile should be prevented during laparoscopic cholecystectomy, even in patients not diagnosed as having cancer preoperatively. [ncbi.nlm.nih.gov]

Get Rid of Gallstones Naturally One of the main home remedies that you need to follow to prevent gallstones is a healthy lifestyle. You need to maintain a healthy body weight to prevent gallstones. [doctorabel.us]

[…] diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology EH ethnology ET etiology GE genetics HI history IM immunology ME metabolism MI microbiology MO mortality NU nursing PS parasitology PA pathology PP physiopathology PC prevention [decs.bvs.br]

[…] of Gallstones Ursodeoxycholic acid treatment can prevent gallstone formation. [emedicine.medscape.com]