What department does cholecystitis belong to?

Cholecystitis is a relatively serious disease that needs to be taken seriously. However, many people do not have a correct understanding of their disease and always leave it alone. This will lead to further aggravation of cholecystitis. In severe cases, it will cause damage to the liver and digestive system and cannot be cured. Cholecystitis should be treated promptly and a light diet should be taken. So, which department does cholecystitis belong to?

1. Laboratory examination

(1) Routine blood test

In acute cholecystitis, the white blood cell count is slightly increased and the neutrophil count is increased. If the white blood cell count exceeds 20×109/L, and there is a nuclear left shift and toxic granules, complications such as gallbladder necrosis or perforation may occur.

(2) Duodenal drainage

In chronic cholecystitis, increased mucus in bile, clumping of white blood cells, and positive bacterial culture or parasite tests can be very helpful for diagnosis.

2. Other auxiliary examinations

(1) Acute cholecystitis

① Ultrasound examination: B-ultrasound can often make a timely diagnosis by revealing enlarged gallbladder, thick walls, and viscous bile in the cavity. ②Radiological examination

Positive findings of diagnostic significance on abdominal plain films are: stones in the gallbladder area; enlarged gallbladder shadow; calcifications on the gallbladder wall; and gas and fluid levels in the gallbladder cavity. Cholecystography: Oral method: The gallbladder is generally not visible; intravenous injection method is of diagnostic significance for acute cholecystitis. ③ Radionuclide examination

The sensitivity for diagnosing acute cholecystitis is 100% and the specificity is 95%, which is also of diagnostic value.

(2) Chronic cholecystitis

① If ultrasound examination reveals gallbladder stones, thickening, shrinkage or deformation of the gallbladder wall, it has diagnostic significance. ② If the abdominal X-ray shows chronic cholecystitis, gallstones, enlarged gallbladder, calcified gallbladder and milky opaque shadows of the gallbladder may be found. ③ Cholecystography

Chronic cholecystitis images such as gallstones, reduced or deformed gallbladder, concentrated gallbladder and poor contraction function, and weak gallbladder imaging can be detected. When the gallbladder does not appear, if liver damage or liver metabolic dysfunction can be ruled out, it may be chronic cholecystitis. ④ Cholecystokinin test

If the gallbladder contraction amplitude is less than 50% and biliary colic occurs, it is a positive reaction, indicating chronic cholecystitis. ⑤Fiberoptic laparoscopy

Under direct observation, the liver and enlarged gallbladder appear green, green-brown, or green-black. It indicates that jaundice is extrahepatic obstruction; if the gallbladder loses its smooth, translucent and sky-blue appearance and becomes grayish white, and there is gallbladder shrinkage and obvious adhesions, as well as gallbladder deformation, it indicates chronic cholecystitis. ⑥ Mini-laparotomy

Mini-laparotomy is a new method advocated in recent years for diagnosing difficult hepatobiliary diseases and jaundice. It can not only make a clear diagnosis of chronic cholecystitis, but also understand the performance of the liver.