Chronic Cholecystitis Overview

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5 Questions

Which factor is not a predisposing factor for chronic cholecystitis?

High cholesterol levels

What is the main difference between chronic calcular cholecystitis and chronic acalcular cholecystitis?

Presence of gallbladder stones

What is a common characteristic of a chronically inflamed gallbladder at operation?

Loss of peritoneal lustre

Which complication is associated with chronic cholecystitis acting as a septic focus?

Myocarditis

In what percentage of patients are gallbladder stones & chronic cholecystitis usually silent?

80%

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.

Learn about chronic cholecystitis, a common condition more prevalent in women above 40, often associated with gallbladder stones. Understand the pathology, predisposing factors, and characteristics of chronically inflamed gallbladder at operation.

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