MANAGEMENT OF CHOLELITHIASIS & CHOLEDOCHOLITHIASIS
MANAGEMENT OF CHOLELITHIASIS & CHOLEDOCHOLITHIASIS
Dr.D.Sirish Bharadwaj PGY III, Dept. of General Surgery
DEFINITION
? The presence of gallstones in the gallbladder is called cholelithiasis.
? The presence of gallstones in the common bile duct is called choledocholithiasis
Effects of Gallstones
In the gallbladder:
? Asymptomatic stones ? Biliary colic with periodicity ? Acute cholecystitis ? Chronic cholecystitis ? Empyema gallbladder ? Perforation causing biliary peritonitis or pericholecystitic abscess ? Mucocele of the gallbladder ? Limey gallbladder ? Gallstone ileus leading to small bowel obstruction ? Carcinoma gallbladder
In the common bile duct(CBD):
? Obstructive jaundice ? Cholangitis ? Pancreatitis ? Mirizzi syndrome
Current discussion:
? Chronic cholecystitis ? Acute calculous cholecystitis ? Choledocholothiasis ? Aysmptomatic gallstones
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