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Home > West Medicine > Internal Medicine > Gastroenterology
K81.900

Cholecystitis

消化内科

Common symptoms

胆囊壁毛糙、指甲呈扇形、持续性发热、腹肌紧张、胆囊壁厚、腹痛、恶心、右上腹痛、肩周区弥散的钝...

The pathology of disease

Cholecystitis is inflammation of gallbladder, acute (stone obstruction + infection) or chronic (recurrent stone irritation), presenting with RUQ pain, fever, and Murphy sign. Treatment: acute: NPO/IV fluids/analgesics/broad antibiotics, early laparoscopic cholecystectomy; chronic: low-fat diet, analgesics, elective cholecystectomy; monitor for gangrene/perforation/empyema; treat underlying cholelithiasis; follow-up.

Common Symptoms

RUQ pain; fever; Murphy sign; acute/chronic

Causes and Pathogenesis

Gallstone obstruction/chemical irritation causes gallbladder inflammation.

Treatment

NPO/IV fluids/analgesics/antibiotics; cholecystectomy; diet for chronic

Preventive Measures

Elective cholecystectomy for symptomatic gallstones.

Department to Visit

It is recommended to visit the Hepatobiliary-surgery/Gastroenterology/Emergency department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.