What harm can acute cholecystitis cause?

The gallbladder is not the source of courage for people, but a very important organ. The gallbladder continuously provides digestive enzymes for the human digestive system by secreting bile. This enzyme is an important raw material for digesting fat. Therefore, the role of the gallbladder is obvious. Without the gallbladder, people will not be able to eat and digest some fatty foods. The gallbladder is also a part that is more prone to disease. Acute cholecystitis is a common disease, and its degree of pain is high, no less than some serious diseases. Therefore, if you suffer from acute cholecystitis, you must deal with it as soon as possible. Let’s take a look at the harm that acute cholecystitis can cause.

Acute cholecystitis is an inflammation of the gallbladder due to cystic duct obstruction and bacterial invasion; its typical clinical features are paroxysmal colic in the right upper abdomen, accompanied by obvious tenderness and abdominal muscle rigidity. About 95% of patients have gallstones, which is called calculous cholecystitis; 5% of patients do not have gallstones, which is called acalculous cholecystitis.

complication

1. Gallbladder abscess and hydrops

When cholecystitis is accompanied by persistent obstruction of the cystic duct, gallbladder abscess may occur. At this time, symptoms worsen, and the patient will show high fever and severe right upper abdominal pain. Perforation is very likely to occur, and emergency surgery is required. If the cystic duct is blocked for a long time and there is no bacterial infection in the gallbladder, it may be complicated by gallbladder hydrocele or mucocele, and the gallbladder may be enlarged. Clinically, a painless or slightly tender swollen gallbladder can be felt in the right upper abdomen, which is suitable for surgical treatment.

2. Gallbladder perforation

When the gallbladder is perforated on the basis of gangrene, the perforated part is often surrounded by the omentum. If it is not surrounded, the mortality rate can reach 30%.

3. Bile fistula

Gallbladder inflammation can cause local perforation, forming cholecystoduodenal fistula, cholecystocolonic fistula, cholecystogastric fistula, jejunal fistula, cholecystobile duct fistula, etc.

treat

The main treatment for acute cholecystitis is surgery, but before surgery, routine fasting, gastrointestinal decompression, correction of water and electrolyte abnormalities, and antibiotic treatment are recommended. Surgical treatment is recommended when the patient has the following conditions: ① cholecystitis accompanied by severe biliary infection; ② complications of cholecystitis, such as gangrenous inflammation, abscess, perforation of the gallbladder, etc.; ③ patients preparing for surgery with complications of acute cholecystitis, cholecystectomy and cholecystostomy may be selected for surgical treatment.