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</div><div><span>Chronic cholecystitis</span></div></div>
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<article><div id="d-article"><div class="page-info"><div class="page-title"><a name="start" id="start">
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</a><h1 class="with-also" itemprop="name">Chronic cholecystitis</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>Chronic cholecystitis is swelling and irritation of the gallbladder that continues over time.</p><p>The gallbladder is a sac located under the liver. It stores bile that is made in the liver.</p><p>Bile helps with the digestion of fats in the small intestine.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Causes</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>Most of the time, chronic cholecystitis is caused by repeated attacks of acute (sudden) cholecystitis. Most of these attacks are caused by gallstones in the gallbladder.</p><p>These attacks cause the walls of the gallbladder to thicken. The gallbladder begins to shrink. Over time, the gallbladder is less able to concentrate, store, and release bile.</p><p>The disease occurs more often in women than in men. It is more common after age 40. Birth control pills and pregnancy are factors that increase the risk for gallstones.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Symptoms</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p><a test="test" href="./000264.htm">Acute cholecystitis</a> is a painful condition that may lead to chronic cholecystitis. It is not clear whether chronic cholecystitis causes any symptoms.</p><p>Symptoms of acute cholecystitis can include:</p><ul><li>Sharp, cramping, or dull pain in upper right or upper middle of your belly</li><li>Steady pain lasting about 30 minutes</li><li>Pain that spreads to your back or below your right shoulder blade</li><li>Clay-colored stools</li><li>Fever</li><li>Nausea and vomiting</li><li>Yellowing of skin and whites of the eyes (jaundice)</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Exams and Tests</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>Your health care provider may order the following blood tests:</p><ul><li><a test="test" href="./003465.htm">Lipase</a> in order to diagnose diseases of the pancreas</li><li><a test="test" href="./003642.htm">Complete blood count</a> (CBC)</li><li><a test="test" href="./003436.htm">Liver function tests</a> in order to evaluate how well the liver is working</li></ul><p>Tests that reveal gallstones or inflammation in the gallbladder include:</p><ul><li><a test="test" href="./003777.htm">Abdominal ultrasound</a></li><li><a test="test" href="./003789.htm">Abdominal CT scan</a></li><li>Gallbladder scan (HIDA scan)</li><li>Oral cholecystogram (rarely done)</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Treatment</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>Surgery is the most common treatment. Surgery to remove the gallbladder is called cholecystectomy.</p><ul><li>Laparoscopic cholecystectomy is most often done. This surgery uses smaller surgical cuts, which results in a faster recovery. Many people are able to go home from the hospital on the same day as surgery, or the next morning.</li><li>Open cholecystectomy requires a larger cut in the upper-right part of the abdomen.</li></ul><p>If you are too ill to have surgery because of other diseases or conditions, the gallstones may be dissolved with medicine you take by mouth. However, this may take 2 years or longer to work. The stones may return after treatment.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Outlook (Prognosis)</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>Cholecystectomy is a common procedure with a low risk.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Possible Complications</h2></div><div class="section-button"><button type="submit" aria-controls="section-6" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-6"><p>Complications may include:</p><ul><li><a test="test" href="./001289.htm">Cancer</a> of the gallbladder (rarely). Sometimes cancer is found in a gallbladder that has been removed.</li><li>Jaundice.</li><li>Pancreatitis.</li><li>Worsening of the condition.</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>When to Contact a Medical Professional</h2></div><div class="section-button"><button type="submit" aria-controls="section-7" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-7"><p>Contact your provider if you develop symptoms of cholecystitis.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Prevention</h2></div><div class="section-button"><button type="submit" aria-controls="section-8" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-8"><p>The condition is not always preventable. Eating less fatty foods may relieve symptoms in people. However, the benefit of a low-fat diet has not been proven.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Cholecystitis - chronic</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Patient Instructions</h2></div><div class="section-button"><button type="submit" aria-controls="section-carepnt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div name="Patient Instructions" class="section-body" id="section-carepnt"><ul class="side-nav"><li><a href="../patientinstructions/000117.htm">Gallbladder removal - laparoscopic - discharge</a></li>
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<li><a href="../patientinstructions/000118.htm">Gallbladder removal - open - discharge</a></li>
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<li><a href="../patientinstructions/000196.htm">Gallstones - discharge</a></li>
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</ul></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/1154t.jpg" alt="Cholecystitis, CT scan" title="Cholecystitis, CT scan" class="side-img"/><a href="../imagepages/1154.htm">Cholecystitis, CT scan</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/1155t.jpg" alt="Cholecystitis, cholangiogram" title="Cholecystitis, cholangiogram" class="side-img"/><a href="../imagepages/1155.htm">Cholecystitis - cholangiogram</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/1156t.jpg" alt="Cholecystolithiasis" title="Cholecystolithiasis" class="side-img"/><a href="../imagepages/1156.htm">Cholecystolithiasis</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/1163t.jpg" alt="Gallstones, cholangiogram" title="Gallstones, cholangiogram" class="side-img"/><a href="../imagepages/1163.htm">Gallstones, cholangiogram</a></li>
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</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Basturk O, Adsay NV. Diseases of the gallbladder. In: Burt AD, Ferrell LD, Hubscher SG, eds. <em>MacSween's Pathology of the Liver</em>. 8th ed. Philadelphia, PA: Elsevier; 2024:chap 10.</p><p>Gill RM, Kakar S. Liver and gallbladder. In: Kumar V, Abbas AK, Aster JC, eds. <em>Robbins and Cotran Pathologic Basis of Disease</em>. 10th ed. Philadelphia, PA: Elsevier; 2021:chap 18.</p><p>Wang DQH, Afdhal NH. Gallstone disease. In: Feldman M, Friedman LS, Brandt LJ, eds. <em>Sleisenger and Fordtran's Gastrointestinal and Liver Disease</em>. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 65.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 12/31/2023</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<div id="section-version" class="section-body"><p>Updated by: Jenifer K. Lehrer, MD, Department of Gastroenterology, Aria - Jefferson Health Torresdale, Jefferson Digestive Diseases Network, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.</p>
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