ABSTRACT
In an acute inflammation of gallbladder inflammatory process spreads on surrounding tissues, including hepatic tissue, what causes the regional hepatitis occurrence. In some patients, suffering calculous cholecystitis on background of transition of inflammatory process from gallbladder to hepatic tissue likewise a regional hepatitis, hyperbilirubinemia, the skin yellowness are revealed, what simulates choledocholithiasis and obturation jaundice.
Subject(s)
Cholecystolithiasis/complications , Hepatitis/etiology , Hyperbilirubinemia/etiology , Biopsy , Cholangiopancreatography, Endoscopic Retrograde , Cholecystectomy , Cholecystolithiasis/pathology , Cholecystolithiasis/surgery , Female , Hepatitis/pathology , Hepatitis/surgery , Humans , Hyperbilirubinemia/pathology , Hyperbilirubinemia/surgery , Liver/pathology , Male , Treatment OutcomeABSTRACT
Infiltrate of a gallbladder, as a complication of an acute cholecystitis constitute a separate form of the disease. In this case a destructive changes in gallbladder are restricted from surrounding tissues. While presence of infiltrate of a small size and favorable course under the influence of conservative therapy it is necessary to follow an expectant tactics up to complete dissolving of the infiltrate with a consequent obligate operative treatment in a "cold" period of the disease. Not rarely the infiltrate is transformed into a gallbladder oedema, what demands performance of a deferred operation. In a deep destructive process a gallbladder empyema may occur or paravesical abscess formated, what demands performance of urgent operative intervention.
