Analysis of gallstones disease correlating with clinical symptoms in patients with calculous cholecystitis in emergency surgical unit at Kilpauk Medical College
Journal Title: International Archives of Integrated Medicine - Year 2017, Vol 4, Issue 8
Abstract
Background: Gallstones, complex biomineralized deposits formed in the gallbladder, are still a major health problem all over the world. Cholelithiasis is common with the incidence ranging from 10% to 20% of the world population. Over the past two decades, a great deal has been learned about the epidemiology of and risk factors for gallstones. Ultrasonography has played a major role in this process, providing a rapid, risk-free method of screening large populations. Prior to the availability of ultrasound, most studies relied on highly selective autopsy data and limited oral cholecystography. Aim and objectives: To determine the Biochemical analysis of Gall stones and to study the clinical spectrum of acute cholecystitis. Materials and methods: About 50 consecutive cases were admitted, examined, investigated and diagnosed as calculus cholecystitis during the period of January 2016 to September 2016 are selected and detailed history of all the 50 cases were taken according to the proforma. Information regarding the age, nature of the symptoms, and duration of the symptoms, diet history, and history of OCP intake, Alcohol ingestion, and diabetes were obtained. All patients’ undergone detailed examination underwent investigations. Results: All cases fall between 22 and 75 years. There is an increased incidence in the 5th and 6th decade with the maximum incidence in the 5th decade. Pain abdomen was the most common presenting symptom in our study seen in 49 (98%) of the cases followed by fever in 17 (34%) cases. Dyspepsia was seen in 12 (24%) cases, 7 cases (14%) each presented with nausea/vomiting or jaundice. Among the ultrasonographic findings of cholelithiasis most common finding was thickened gall bladder wall seen in 40 cases (80%) Ultra sonogram revealed 76% (38 cases) had multiple stones and 24% (12) has solitary stone. Mass was seen in 5 cases (10%).Of the total 50 cases with cholelithiasis 38 patients (76%) had mixed stones, followed by pigment stones in 8 cases (16%) followed by cholesterol stones in remaining 4 cases (8%). Majority of the patients were in the age group 41-50 (32%) followed by the 51-60 age group (24%). Conclusion: Majority of patients underwent Laparoscopic cholecystectomy (86%) with reduced number of stay in the hospital, pain and disability as compared to open cholecystectomy. The commonest type of stone was mixed stone. Most of the gallstones were associated with grade 1 cholecystitis (78%), Grade 2 cholecystitis was seen in 20% of our study patients, Grade 3 was seen in 2% of our study patients.
Authors and Affiliations
Dr. Ganganesamy, S. Dharmarajan
Keywords
Related Articles
- EP ID EP409097
- DOI -
- Views 128
- Downloads 0
Study of thyroid profile during pregnancy
Background: Thyroid disease is a disorder that affects the thyroid gland. Sometimes the body produces too much or too little thyroid hormone. Thyroid hormones regulate metabolism - the way the body uses energy and affect...
A case report of papillary carcinoma thyroid in 34 years old female patient
Thyroid malignant tumors are rarely associated with hyperfunctioning thyroid. The incidence of this co-incidence is highly variable. Here we report a rare case of papillary thyroid cancer associated with hyperthyroidism...
Effect of transcutaneous electrical Nerve stimulation on pain in subjects with primary dysmenorrhea
Background: Low back pain and pelvic pain are most common symptoms of Primary dysmenorrhea. Most commonly used treatments are pharmacological drugs. TENS has been found to be effective for primary dysmenorrhea according...
A comparative study of I-gel and LMA fastrach as a conduit for blind endotracheal intubation
Background: The most important duty of an anesthesiologist is to protect the patient’s airway and to provide adequate ventilation. The anesthesiologist should be skilled enough to make decisions at the circumstances of d...
Effect of cigarette smoking on various biochemical parameters in patients attending OPD of RMMCH
Background: Smoking harms nearly every organ of the body and diminishes a person’s overall health. Millions and millions of peoples have health problems due to the habit of smoking. It is now a burden worldwide because s...