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Questions and Answers
Which factor is not a predisposing factor for chronic cholecystitis?
Which factor is not a predisposing factor for chronic cholecystitis?
- Gallbladder stones
- Poor management of acute cholecystitis
- High cholesterol levels (correct)
- Obesity
What is the main difference between chronic calcular cholecystitis and chronic acalcular cholecystitis?
What is the main difference between chronic calcular cholecystitis and chronic acalcular cholecystitis?
- Age of onset
- Presence of gallbladder stones (correct)
- Severity of symptoms
- Location of inflammation in the gallbladder
What is a common characteristic of a chronically inflamed gallbladder at operation?
What is a common characteristic of a chronically inflamed gallbladder at operation?
- Thin wall
- Loss of peritoneal lustre (correct)
- Lack of adhesions to surrounding structures
- Smooth surface
Which complication is associated with chronic cholecystitis acting as a septic focus?
Which complication is associated with chronic cholecystitis acting as a septic focus?
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In what percentage of patients are gallbladder stones & chronic cholecystitis usually silent?
In what percentage of patients are gallbladder stones & chronic cholecystitis usually silent?
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Study Notes
Predisposing Factors for Chronic Cholecystitis
- Obesity is a predisposing factor for chronic cholecystitis.
- Estrogen therapy and parity are also predisposing factors for chronic cholecystitis.
- Hemolytic disorders, such as sickle cell anemia, increase the risk of chronic cholecystitis.
- Ileal disease or resection, leading to bile salt malabsorption, is a predisposing factor for chronic cholecystitis.
- Female gender is a predisposing factor for chronic cholecystitis.
- Age over 40 is a predisposing factor for chronic cholecystitis.
- Family history of gallstones increases the risk of chronic cholecystitis.
- Rapid weight loss is a predisposing factor for chronic cholecystitis.
Difference between Chronic Calcular and Acalculous Cholecystitis
- Chronic calcular cholecystitis is characterized by the presence of gallstones.
- Chronic acalculous cholecystitis is characterized by the absence of gallstones.
Characteristics of a Chronically Inflamed Gallbladder
- A chronically inflamed gallbladder often appears thick-walled, edematous, and fibrotic at operation.
Complications of Chronic Cholecystitis
- Chronic cholecystitis can act as a septic focus, leading to complications such as infective endocarditis.
Silent Gallstones and Chronic Cholecystitis
- In approximately 80% of patients, gallbladder stones and chronic cholecystitis are usually silent, presenting no symptoms.
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