DOI: 10.36347/sjams.2016.v04i07.036

Pages: 2480-2483

Cholecystitis is a recurrent problem, a disease of hepato Biliary system. The risk factor, predispositioning for gall bladder disease includes obesity, DM, oestrogen and pregnancy, hemolytic disease and cirrohotic liver diseases. Apart from studying the epidemiology and demographic factors dietary habitats, clinical presentation diagnostic tools and management it also looks into the stone analysis and the culture of blood to formulate the antibiotic treatment proper. Acute cholecystitis occurs when bile becomes trapped in the gallbladder. This often happens because a gallstone blocks the cystic duct, the tube through which bile travels into and out of the gallbladder. When a stone blocks this duct, bile builds up, causing irritation and pressure in the gallbladder. This can lead to swelling and infection. To identify the risk factor of the gallstone disease more commonly epidemiological studies now use the ultrasonography inpatients with clinical evidence of pain in the abdomen with radiation , fever, and positive Murphys sign, following imaging ultrasonography evidences the gall baldder disease status and the other associated diseases. Asymptomatic gall stones Majority will not develop symptoms upto 80% have never experienced biliary pain or complications as acute cholecystitis, cholangitis or pancreatitis such asymptamatic gallstones develop 1.2% major complication. Gallbladder cancer is a notoriously rare though lethal malignancy with marked ethnic and geographical variations. The presenting symptoms are typically vague so that its diagnosis commonly occurs at an advanced stage. This late diagnosis plus the anatomic feature that the Gallbladder lacks a serosa culminates in a rather dismal prognosis.