What are gallstones made of?
Cholesterol and pigment
Risk factors for Gallstones
Age Female Fertile Obesity Cholesterol Diabetes Parity Pigment Female, fair, fat, fertile & forty
Gallstone Complications
Dyspeptic symptoms Acute cholecystitis Chronic cholecystitis Carcinoma of gall bladder wall Pancreatitis Empyema Gallstone Illeus Gallbladder cancer - rare but 90% of cx px have gallstones Crohn's disease
Gallstone Presentation
Right upper quadrant pain (can cause referred right shoulder pain) Epigastric pain Dyspepsia symptoms Fever Gall bladder mass Local peritonism Asymptomatic
Gall bladder investigation s
Ultrasound Scan
Gall bladder treatment
Asymptomatic - no tx Observe Laparoscopic Cholecystectomy Dissolution Lithotripsy