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Arch Surg. 2006;141:102.

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Answer: Acute and Chronic Cholecystitis With Abscess Formation

The prevalence of gallstone disease in the United States is 10% to 15%,¹ making it one of the most common gastrointestinal disorders. More than 70% of patients with gallstones are asymptomatic, with the yearly risk of developing biliary pain between 1% to 4%.² Complications of cholelithiasis include cystic duct obstruction, which may progress to acute cholecystitis, pancreatitis, cholecystenteric fistula, gallstone ileus, and increased risk of gallbladder carcinoma. Risk of acute cholecystitis in patients with symptomatic gallstone disease is approximately 1% to 3% per year.³ Common risk factors for gallstones include obesity, pregnancy, multiparity, hyperlipidemia, and certain racial/genetic factors, such as being of Native American descent.

Patients with chronic cholecystitis typically develop biliary colic and epigastric and/or right upper quadrant pain that may radiate to the back or below the right scapula. Pain begins abruptly and persists for minutes to hours. In acute cholecystitis, patients experience unremitting biliary pain frequently accompanied . . . [Full Text of this Article]

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Arch Surg. 2006;141(1):101.
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