Inflammation of the gallbladder - Cholecystitis

Medium urgency
Very common-

Inflammation of the gallbladder, responsible for the storage of the bile.

The most common cause is a stone that obstructs the outflow tract, increasing the pressure inside the gallbladder, irritating the walls and encouraging bacterial infection.

It manifests with intense and continuous pain in the upper right part of the abdomen or in the pit of the stomach. It is accompanied by fever, nausea and vomiting, clay-coloured stools, yellowing of the skin and general malaise.

Diagnosis is clinical, analytical and by abdominal ultrasound, which reveals stones and irritation of the gallbladder wall.

It is treated with supportive measures, pain management with standard analgesia and surgery. Bile drainage through a puncture can improve the conditions for surgery or replace surgery if there is a high surgical risk.

Bibliographic references
  1. de Mestral C, Rotstein OD, Laupacis A, et al. A population-based analysis of the clinical course of 10,304 patients with acute cholecystitis, discharged without cholecystectomy. J Trauma Acute Care Surg 2013; 74:26.
  2. Strasberg SM. Clinical practice. Acute calculous cholecystitis. N Engl J Med 2008; 358:2804.
  3. Solomkin JS, Mazuski JE, Bradley JS, et al. Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America. Clin Infect Dis 2010; 50:133.
  4. Norton J. Greenberger, Gustav Paumgartner. Enfermedades de la vesícula biliar y de las vías biliares. Colecistitis aguda y crónica. Harrison. Principios de Medicina Interna. Volumen 2. 19ª Edición. 2080:2083.
  5. E. Ros. Enfermedades de las vías biliares. Colecistitis aguda. Farreras Rozman. Medicina Interna. Volumen I. Duodécima edición. 359:360.
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Abdominal pain radiating to the shoulder


    Localised abdominal pain


    Upper right abdominal pain


    Generalised abdominal pain


    Fever / Feel very hot

Pre-hospital care recommendations

Consume over-the-counter pain relievers or anti-inflammatories.
Maintain a balanced diet: increase fruit, vegetable, and white meat consumption and reduce the intake of fatty meals and fritters.