Study of Cholecystitis in Telangana Population

  • Khaja Abdul Muqeet Mediciti Institute of Medical Sciences, Hyderabad, Telangana, India
  • T V Ramanachary Mediciti Institute of Medical Science, Hyderabad, Telangana, India
Keywords: Acute cholecystitis, Gallbladder stone, Laparoscopic cholecystectomy, Telangana

Abstract

Introduction: Cholecystitis is a potentially life-threatening condition which affects >20 million globally every year. Gall bladder (GB) stones are the major contributor to acute cholecystitis (AC). Materials and Methods: Eighty-six patients (32 males and 54 females) aged between 25 and 60 years who were regularly visiting MediCiti Institute of Medical Science Hospital having symptoms of cholelithiasis were selected for study. Results: The clinical manifestation was 100% tenderness in right hypochondrium, 28 (32.5%) had fever, 6 (6.97%) had jaundice, 23 (26.7%) had vomiting, and 29 (33.7%) had leukocytosis. The mode of presentation was as follows: 14 (16.2%) had emergency and 72 (83.7%) has elective presentation, and types of pathology were as follows: 75 (87.2%) had calculus cholecystitis and 11 (12.7%) had idiopathic. The organism cultured post-surgically were as follows: 29 (33.7%) had Escherichia coli, 14 (16.2%) had Staphylococcus aureus, 6 (6.97%) had Salmonella, 13 (15.1%) had no organism, and 24 (27.9%) were not done culture due to early healing. This pragmatic approach to the patients with different clinical manifestation with different organism culture study at different age in both sexes will be quite useful to surgeons and physicians to treat efficiently cholecystitis to prevent morbidity and mortality. Conclusion: Clinician at various levels needs to have good understanding of varied clinical presentations of AC, silent (chronic) cholecystitis, and different management options, their pros and cons to be able treat the conditions effectively.

Author Biographies

Khaja Abdul Muqeet, Mediciti Institute of Medical Sciences, Hyderabad, Telangana, India

Associate Professor, Department of General surgery, 

T V Ramanachary, Mediciti Institute of Medical Science, Hyderabad, Telangana, India

Assistant Professor, Department of General surgery,

Published
2019-05-30
Section
Articles