Chronic cholecystitis is the most common cause of symptomatic gallbladder.
Pathology:
It is characterized by fibrosis, contraction of gallbladder and chronic inflammatory changes with marked thickening of the wall. Predisposing factors included repeated bouts of biliary colic and acute cholecystitis or chronic typhoid infection of gallbladder.
Symptoms:
recurrent right upper quadrant abdominal pain, flatulence, fatty food intolerance.
Signs:
no significant signs
Differential diagnosis
- Duodenal ulcer
- Hiatal hernia
- Myocardial ischemia
- Chronic pancreatitis
- gastrointestinal neoplasia
Treatment:
Cholecystectomy