What are the clinical manifestations of acute cholecystitis?

Although cholecystitis is a chronic disease, he also has acute symptoms, many acute cholecystitis will have a serious clinical symptoms, late at this time is not very good to cure, so in the face of acute cholecystitis patients must understand their own clinical manifestations, let's take a look at what the clinical manifestations of acute cholecystitis are, I hope you do a good job in symptomatic treatment.

What are the clinical manifestations of acute cholecystitis?

(1) Symptoms

(1) Severe pain or cramping in the right upper abdomen, mostly acute cholecystitis caused by stones or parasite incarceration obstruction of the gallbladder neck; The pain is often sudden, very intense, or crampy, usually after eating a high-fat food, and usually occurs at night; General pain in the right upper quadrant, seen in the cystic duct non-obstructive acute cholecystitis, the pain in the right upper quadrant is generally not severe, mostly persistent swelling pain, with the progression of gallbladder inflammation, the pain can also be aggravated, the pain is radioactive, the most common radiation site is the right shoulder and the lower corner of the right scapula, etc., which is caused by gallbladder inflammation stimulating the right phrenic nerve endings and peripheral nerves of the abdominal wall.

(2) Nausea and vomiting are the most common symptoms, such as nausea and vomiting stubborn or frequent, which can cause dehydration,collapseand electrolyte abnormalities, which are more common when stones or roundworms obstruct the cystic duct.

(3) chills, chills, and fever, and mild cases often have chills and low-grade fever; Severe cases may have chills and high fever, which can reach more than 39°C, and may have psychiatric symptoms such as delirium and delirium.

(4) Jaundice is rare, if there is jaundice is generally mild, it means that the infection has spread to the liver through the lymphatic vessels, causing liver damage, or inflammation has invaded the common bile duct.

(2) The main signs: abdominal examination showed tension, tenderness, rebound tenderness, and positive MURpHY sign in the right upper abdomen and the middle of the upper upper abdomen.In patients with pyometra or perigallbladder abscess, a tender mass or markedly enlarged gallbladder may be palpable in the right upper quadrant. Abdominal tenderness and tension in the abdominal muscles that extend to other areas of the abdomen or to the entire abdomen suggest gallbladder perforation. or acute peritonitis. 15%~20% of patients have liver damage caused by pericystic edema, gallstone compression and pericholecystitis, or inflammation involving the common bile duct, resulting in ODDI sphincter spasm and edema, resulting in bile discharge disorders, and mild jaundice.

If jaundice is markedly deepened, it may indicate common bile duct obstruction or concurrent choledochitis. In severe cases, signs of peripheral circulatory collapse may be present. Blood pressure is often low, and septic shock may occur, especially in severe cases of purulent gangrene.

Here, no matter how serious the condition of acute cholecystitis patients is, patients should understand their own symptoms, and then go to a professional cholecystitis hospital for treatment, and follow the instructions of professional cholecystitis doctors, so that the patient's own cholecystitis will be completely cured and will live a healthy life.