Cholecystitis What are the clinical manifestations

Acute cholecystitis and the beginning of the acute exacerbation of chronic cholecystitis, Both typical process, the incidence often after eating greasy food, mainly for the right upper quadrant keen colic, paroxysmal increased pain often radiotherapy to the right shoulder or right back, then nausea, vomiting, when the disease will re - there are cold and fever. Some people have severe illness and jaundice systemic infection poisoning symptoms. Diagnostic Ultrasound help.
Chronic patients with gallbladder fire history Biliary Colic, and dislike greasy food, abdominal distension and the navel, and other gastrointestinal symptoms, sometimes right in the ribs and back of the secret anguish. B-positive have found.
Both acute and chronic cholecystitis should be elective surgery. Spinal surgery using anesthesia.
176. Hepatolithiasis clinical performance? Need surgery?
Hepatolithiasis mean left, right hepatic duct stones convergence of the above, often mud-like pigment stones, China is a high incidence area, onset age 30 or so. Clinical symptoms usually on the right upper quadrant abdominal discomfort or a small number of patients with abdominal pain and sometimes chills, fever. In serious cases, there are severe abdominal pain associated with jaundice, chills, fever.
Doctors check shows that the right upper quadrant tenderness, but not with muscle tension, can touch the enlarged liver, preoperative consultation rely on the ultrasound, CT, endoscopic, cholangiography.
Treatment depends mainly on surgery to clean up stones, lifting biliary obstruction and infection control. Spinal surgery using anesthesia.
177. The clinical features of bile duct cancer? What treatment?
The gallbladder and biliary duct cancer, including tumors of two parts.
Benign tumors of the gallbladder is not uncommon, gallbladder bile duct tumor about the 2 / 3. At the beginning of the major clinical manifestations of the performance of cholecystitis and cholelithiasis. Late jaundice, fever, right upper quadrant mass and ascites. When elderly patients cholecystitis and performance similar symptoms, should consider the possibility of gallbladder cancer, ultrasound and X-ray examination helps diagnosis. Early surgery is the only treatment, supplemented by postoperative radiotherapy or chemotherapy, but not terminally ill and frail patients tolerated the surgery feasible hepatic arterial catheterization continuous infusion anticancer drug, or systemic chemotherapy or radiotherapy. With surgery with spinal anesthesia.
Cholangiocarcinoma: occurs in 50-70 years, more men than women. The major clinical manifestation is the rapid increase of obstructive jaundice and other symptoms, abdominal pain, nausea, vomiting, weight loss, doctors have found positive. Surgical resection of tumor is a major surgery.
Using spinal anesthesia with surgery.