In medicine, chronic calculous cholecystitis is understood as inflammation of the gallbladder itself with the presence of stones in it. This disease is currently relatively common. In this article we will talk about what are its primary signs, and how chronic calculous cholecystitis is treated. According to experts, the formation of stones is facilitated by a violation of lipid and pigment metabolism, as well as various kinds of inflammatory processes in the organ itself.
Case history: chronic calculous cholecystitis
It can be argued that the concept of this disease is closely related to cholelithiasis. The latter is spoken of in the event that stones were found directly in the bubble itself. Their formation occurs, as already noted above, due to a violation of some metabolic processes, as well as due to a change in the composition of bile. Concerningthe issue of chronic calculous cholecystitis, it is mainly diagnosed against the background of an already transferred illness in an acute form. This situation is familiar to many who have not been able to undergo competent therapy from specialists.
Chronic calculous cholecystitis. Symptoms
First of all, it should be noted that the complaints of patients may depend on the severity of the inflammatory process itself. So, some people report severe pain. On the other hand, in the absence of exacerbation, the complaints are insignificant (bitterness in the mouth, a regular feeling of heaviness in the area of the right hypochondrium). It is noteworthy that pain often radiates to the lower back.
Diagnosis of chronic calculous cholecystitis
If you suspect this disease, the doctor must prescribe a complete examination, which, in addition to standard blood and urine tests, may contain items such as:
- ultrasound examination (allows you to accurately identify the thickening of the walls of the gallbladder, an increase in its volume);
- endoscopic retrograde cholangiography (required to determine the condition of the bile ducts and the presence of so-called calculi in them);
- computed tomography (allows you to identify the existing dilation of the bile ducts, as well as an increase in lymph nodes).
Treatment of chronic calculous cholecystitis
At the moment, as claimedleading doctors of the world, surgical treatment is recognized as the most effective method of treatment. It has been proven that attempts to dissolve stones in this disease through the use of certain groups of drugs are most often ineffective. In addition, fragmentation of stones using special ultrasonic remote lithotripsy with further removal of the formed fragments through the duodenum is possible only in some patients. The thing is that over time, new stones can form. Only a surgical method can completely solve this problem.
