ACUTE CHOLECYSTITIS WITH EMPYEMA GALLBLADDER WITH HIGH-GRADE FEVER

I am a 12-year-old school boy with the following symptoms for 3 days-

• Pain in upper abdomen radiating to back
• Indigestion
• Loose motions
• Vomiting
• Pain increases after eating a fatty meal

Our family physician advised a few blood tests, stool tests, and an ultrasound abdomen.

He found a high infection seeing my TLC count and found Gallbladder stones impacting on cystic duct and an empyema-like situation.

We were referred to MAX HOSPITAL SAKET and met DR ASHISH VASHISTHA, the BEST GALLBLADDER SURGEON  IN DELHI WITH EXPERTIZE IN BOTH LAPAROSCOPIC AND ROBOTIC  SURGICAL MANAGEMENT OF GALLSTONS.

He was very kind, evaluated our case, and admitted us to the hospital. DR VASHISTHA DID LAPAROSCOPIC CHOLECYSTECTOMY AND NOW I AM DOING WELL IN SCHOOL.

Dr. Ashish Vashistha – Best Gallbladder Surgeon in Delhi  explained to us in detail what harm Gallbladder stones can cause. 

What are Gallbladder stones??

Cholelithiasis or gallstones are hardened deposits of digestive fluid that can form in your gallbladder. The gallbladder is located just beneath the liver. The gallbladder has the function
of holding digestive fluid known as bile that is released into our small intestine.

Gallstones generally do not cause many symptoms but sometimes these gallstones may grow on further to develop complications such as cholecystitis, cholangitis, choledocholithiasis,  gallstone pancreatitis, and rarely cholangiocarcinoma.

Dr. Ashish Vashistha – Best Gallbladder Surgeon in Delhi Explains that Why do Gallstones  form?

Why do Gallstones form? 

Cholesterol gallstones are formed mainly due to over over-secretion of cholesterol by liver cells and hypomotility or impaired emptying of the gallbladder.

In pigmented gallstones, conditions with high heme turnover, bilirubin may be present in bile at higher than normal concentrations. Bilirubin may then crystallize and eventually form stones.

Dr. Ashish Vashistha – Best Gallbladder Surgeon in Delhi Explain about Symptoms.

SYMPTOMS-

– Biliary colic (intermittent episodes of constant, sharp, right upper quadrant  (RUQ) abdominal pain often associated with nausea and vomiting

– Diarrhoea

–  It can mimic angina pain

–  It can look like acidity pain

–  Fever

–  Tachycardia

–   Jaundice 

Don’t ignore upper abdomen pain symptoms

Dr. Ashish Vashistha – Best Gallbladder Surgeon in Delhi Explain about Evaluation.

Evaluation

– Blood count

– Ultrasound abdomen

– CT Scan abdomen

– MRI

– HIDA SCAN

Dr. Ashish Vashistha – Best Gallbladder Surgeon in Delhi Explain MANAGEMENT – LAPAROSCOPIC / ROBOTIC CHOLECYSTECTOMY?

MANAGEMENT– LAPAROSCOPIC / ROBOTIC CHOLECYSTECTOMY

IF UNTREATED – COMPLICATIONS CAN ARISE-

. Pancreatitis

· Bile duct stones

· Acute cholecystitis

· Gallbladder empyema, necrosis

· Gallbladder cancer

·  Cholecystoenteric fistula

    
THESE COMPLICATIONS ARE DIFFICULT TO MANAGE.

IF YOU ARE DIAGNOSED WITH GALLBLADDER STONES, PLEASE GET EVALUATED AND FIND RIGHT TIME FOR SURGERY.