Acalculous cholecystitis has all findings similar to gallbladder inflammation except for the absence of gallbladder stones. The inflammation of the gallbladder is due to its distension. It occurs in people with a prolonged post-surgery recovery period, burns, sepsis, trauma, etc. Its signs and symptoms include nausea, vomiting, right-sided upper abdominal pain, palpable gallbladder, and fever. If left untreated, it may progress to form gangrene, abscess, and ultimately perforation. Hence treatment with intravenous antibiotics is necessary. The underlying medical condition must be managed, and if needed, surgical removal of the gallbladder may be done to prevent further complications.
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Why do I have excruciating lower abdominal pain despite normal ultrasound?
Query: Hello doctor, I am a 38 year old woman. I have been having excruciating pain in my right abdominal area, below my right breast. The pain travels to my back and gets unbearable at times. I have been throwing up today, and my temperature is low since the past five days. This has been going on for a... Read Full »
Answer: Hello, Welcome to icliniq.com. This lower abdominal pain might me due to acalculous cholecystitis, which means gall bladder dysfunction and pain without gallbladder stones. The test of choice is a HIDA (hepatobiliary iminodiacetic acid) scan since the ultrasounds are usually normal and may not ... Read Full »