Questions:

You have nausea, vomiting or abdominal distension after the meal ?

You present an occasional loss of appetite or headache ?

You present an weird, bitter taste into the mouth?

You present abdominal pains especially after rich in fat meals?

If one of the upper criteria is confirmed, then you may have a gallbladder lithiasis.

Localisation:

Localisations of the pain can be: 

-Epigastric (the area between the xiphoid apophyse and upper umbilical area)

-Right hypochondria (the area situated under the right costal grill)

Diagnostic:

– In case of uncomplicated gallbladder lithiasis, the clinical examination can reveals only a simple sensitivity in the right hypochondria area

– Radiological diagnostic

  • Ultrasound – accessible, non-invasive, inexpensive and repeatable – can reveal the presence of the lithiasis inside the gallbladder, but also a quick examination of the liver and the main biliary duct
  • CT scan – complete evaluation of the abdomen, in case of associated pathologies
  • MRI- for a complete evaluation of the biliary and pancreatic duct in case of suspected complications of gallbladder lithiasis

Treatment:

– The treatment for this pathology is surgery- laparoscopic or robotic cholecystectomy which consist in ablation of the gallbladder

– Treatment by medication it is not effective for this pathology.

Complications: (will presented in future articles)

  • Biliary colic
  • Acute cholecystitis
  • Angiocholitis
  • Acute pancreatitis
  • Cancer