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Bowel Disorders

Gallbladder Disorders

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Painful Conditions

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Acalculous Cholecystitis

Aka: Acalculous Cholecystitis, Biliary Dyskinesia
  1. Epidemiology
    1. Incidence: 5-10% of patients with Acute Cholecystitis
  2. Risk factors
    1. Elderly
    2. Diabetes Mellitus
    3. Multiple trauma
    4. Extensive Burn Injury
    5. Prolonged labor
    6. Major surgery
    7. Gallbladder torsion
    8. Systemic Vasculitis
    9. Biliary tract infection (Bacterial or parasitic)
  3. Symptoms and Signs
    1. Indistinguishable from calculous Acute Cholecystitis
    2. Patient ill on initial presentation
  4. Diagnostics
    1. RUQ Ultrasound or CT Abdomen
      1. Large, tense, static gallbladder
      2. No evidence of Gallstones
    2. Radionuclide Cholescintography (HIDA scan)
      1. Poor gallbladder filling
      2. Gallbladder ejection fraction <50%
  5. Management
    1. Cholecystectomy
      1. Offers satisfactory symptom relief in 96% of cases
      2. Brosseuk (2003) Am J Surg 186:1-3

Acalculous Cholecystitis (C0267841)

Definition (MSH) Inflammation of the GALLBLADDER wall in the absence of GALLSTONES.
Concepts Disease or Syndrome (T047)
MSH D042101
SnomedCT 19968009
English Cholecystitis, NOS without calculus, GALLBLADDER INFLAMM ACALCULOUS, ACALCULOUS GALLBLADDER INFLAMM, acalculous cholecystitis (diagnosis), acalculous cholecystitis, Acalculous Cholecystitis [Disease/Finding], cholecystitis acalculous, Acalculous Gallbladder Inflammation, Cholecystitis, Acalculous, Gallbladder Inflammation, Acalculous, Acalculous Cholecystitis, Acalculous cholecystitis, Cholecystitis without calculus (disorder), Cholecystitis without calculus
Dutch acalculeuze cholecystitis, Cholecystitis zonder steenvorming, Galblaasontsteking zonder steenvorming
French Cholécystite acalculeuse, Cholécystite alithiasique, Cholécystite non lithiasique, Cholécystite sans calcul
German Cholezystitis ohne Stein, Cholezystitis, steinlose, Gallenblasenentzündung, steinlose, Steinlose Cholezystitis, Streß-Cholezystitis
Italian Colecistite alitiasica, Infiammazione non calcolotica della cistifellea, Colicistite non calcolotica
Portuguese Colecistite não litiásica, Colecistite Alitiásica, Colecistite Acalculosa, Inflamação da Vesícula Biliar Acalculosa
Spanish Colecistitis acalculosa, colecistitis alitiásica (trastorno), colecistitis alitiásica, colecistitis sin cálculos, Colecistitis Acalculosa, Colecistitis Alitiásica, Inflamación de la Vesícula Acalculosa, Colecistitis Alitiasica, Inflamacion de la Vesicula Acalculosa
Japanese 無石性胆嚢炎, ﾑｾｷｾｲﾀﾝﾉｳｴﾝ, 無石胆嚢炎, 胆嚢炎-無石, 無石胆嚢症
Swedish Akalkulös kolecystit
Czech akalkulózní cholecystitida, žlučník - zánět akalkulózní, Akalkulózní cholecystitida
Finnish Kivetön sappirakkotulehdus
Russian KHOLETSISTIT NEKAL'KULEZNYI, NEKAL'KULEZNYI KHOLETSISTIT, НЕКАЛЬКУЛЕЗНЫЙ ХОЛЕЦИСТИТ, ХОЛЕЦИСТИТ НЕКАЛЬКУЛЕЗНЫЙ
Polish Zapalenie pęcherzyka żółciowego bez kamicy
Hungarian Acalculosus cholecystitis
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Biliary Dyskinesia (C0005416)

Definition (MSH) A motility disorder characterized by biliary COLIC, absence of GALLSTONES, and an abnormal GALLBLADDER ejection fraction. It is caused by gallbladder dyskinesia and/or SPHINCTER OF ODDI DYSFUNCTION.
Concepts Disease or Syndrome (T047)
MSH D001657
SnomedCT 43469007, 197432008
English Biliary Dyskinesia, Biliary Dyskinesias, Dyskinesias, Biliary, BILIARY DYSKINESIA, Dyskinesia, Biliary, biliary dyskinesia (diagnosis), biliary dyskinesia, Biliary Dyskinesia [Disease/Finding], biliary dyskinesias, dyskinesia biliary, Biliary dyskinesia, Biliary dyskinesia (disorder), biliary; dyskinesia, dyskinesia; biliary, Biliary dyskinesia (disorder) [Ambiguous]
Japanese 胆道ジスキネジー, ﾀﾝﾄﾞｳｼﾞｽｷﾈｼﾞｰ
Swedish Gallgångsdyskinesi
Czech žlučové cesty - dyskinéze, Biliární dyskineze
Finnish Biliaarinen dyskinesia
Russian ZHELCHNYKH PUTEI DISKINEZIIA, ЖЕЛЧНЫХ ПУТЕЙ ДИСКИНЕЗИЯ
Spanish discinesia biliar, discinesia biliar (trastorno), disquinesia biliar (concepto no activo), disquinesia biliar (trastorno), disquinesia biliar, Disquinesia biliar, Discinesia Biliar
Polish Zaburzenia czynnościowe dróg żółciowych, Dyskinezy dróg żółciowych
Hungarian Biliaris dyskinesis
Dutch dyskinesie; gal, gal; dyskinesie, galblaasdyskinesie, Biliaire dyskinesie, Dyskinesie, biliaire
Portuguese Discinésia biliar, Discinesia Biliar
German biliaere Dyskinesie, Gallenwegsdyskinesie, Biliäre Dyskinesie
French Dyskinésie biliaire, Dystonie biliaire
Italian Discinesia biliare
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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