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Research Paper | Medical Science | India | Volume 12 Issue 10, October 2023
Cholecystitis with Special Reference to Cholelithiasis: A Clinical Study
Kanwarpreet Singh Sandhu | Rupinder Singh Bawa | Pahul Kaur Bawa
Abstract: Acute cholecystitis (AC) is often associated with gall stones. Accurate diagnosis of cholecystitis requires a multifactorial, systematic approach. Objectives: The aim of the present study was to describe epidemiology, modes of clinical presentation, diagnostic tools and intraoperative findings of symptomatic acute cholecystitis. Methods: The present prospective observational study was conducted on 40 patients with symptoms of acute cholecystitis. A detailed clinical history and physical examination was recorded. Hematological and biochemical studies along with abdominal ultrasonography and laparoscopic cholecystectomywere conducted. Results and Discussion: Maximum incidence was observed in the female consuming vegetarian diet. Physical examination revealed tenderness in right hypochondrium, pain in epigastric region followed by dyspepsia, positive Murphy?s sign and palpable gall bladder. Anemia was observed in 7.5% female patients of acute cholecystitis and11% leukocytosis without fever. Deranged SGPT and SGOT were observed in 22.5% and 37.5% respectively and 10% higher alkaline phosphatase. The abdominal ultrasonography revealed multiplestones in the lumen of gall bladder in 82.5% cases and in neck of gall bladder. Histopathology report showed 80% Acute calculous cholecystitis, 15% chronic calculous cholecystitis and 5% Acute acalculous cholecystitis. Conclusions: Higher incidence of acute cholecystitis associated with cholelithiasis was observed in females consuming vegetarian diet. Diagnosis of cholelithiasis can be achieved through various ancillary techniques.
Keywords: Acute cholecystitis, Clinicopathological findings, Cholelithiasis, Laparoscopic Cholecystectomy
Edition: Volume 12 Issue 10, October 2023,
Pages: 1620 - 1625