Chronic Cholecystitis Overview
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Chronic Cholecystitis Overview

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Questions and Answers

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?

  • 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?

  • 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?

    <p>Myocarditis</p> Signup and view all the answers

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

    <p>80%</p> Signup and view all the answers

    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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    Description

    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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