surgical procedures and management

Apr 15th, 2015
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1CHOLECYSTITISDR. GEORGE MUGENYAMBCHB, M.MED, FCS (ECSA)Definition2Cholecystitis is the inflammation of gallbladder . It usually results from a gallstone blockingthe cystic duct. Acalculous cholecystitis is rare form ofcholecystitis which occurs withoutgallstones. Cholecystitis can be classified as acute orAcute Cholecystitis:3Begins suddenly, resulting in severe, steadypain in the upper abdomen.At least 95% of people with acute cholecystitishave gallstones.The inflammation almost always beginswithout infection, although infection may followlater.Inflammation may cause the gallbladder to fillwith fluid and its walls to thicken.It may coexist with Choledocholithiasis,cholangitis, or gallstone pancreatitis.4Acalculous AcuteCholecystitis:Rare form of acute cholecystitis withoutgallstones.It is more serious than other types ofcholecystitis.It tends to occur after the following: Majorsurgery. Critical illnesses such as serious injuries, majorburns, and systemic infections (sepsis). Intravenous feedings for a long time. Fasting for a prolonged time. Immunodeficiency state.Chronic Cholecystitis:5Gallbladder inflammation that has lasted along time.It almost always results from gallstones.It is characterized by repeated attacks of pain(biliary colic).The gallbladder is damaged by repeatedattacks of acute inflammation, usually due

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