Symptom system of cholecystitis

        1, acute cholecystitis

        The incidence of many patients in the greasy dinner after midnight, because of the high fat diet can strengthen the gallbladder contraction, and supine and easy to slip into small gallstones and incarcerated cystic duct. Mainly for the right upper quadrant persistent pain, paroxysmal aggravation, right shoulder and back to radiation; often accompanied by fever, chills, nausea and vomiting, but rare, mild jaundice. Abdominal examination revealed right upper abdomen full, gallbladder area muscle tension, tenderness, rebound tenderness.

        2, chronic cholecystitis

        Symptoms and signs are not typical. Most manifestations of biliary indigestion, tired of greasy food, abdominal fullness, belching, heartburn, and similar ulcer disease or chronic appendicitis; sometimes due to obstruction of cystic duct, is acute, but when the stones move, the relief of the obstruction, which is improved rapidly. Body check, the gallbladder area may have mild tenderness and percussion pain; if the hydrops of gallbladder, often palpable round smooth cystic masses.