Pregnancy with acute cholecystitis

Acute cholecystitis is a common disease in surgery, second only to appendicitis, and ranks second. Acute cholecystitis associated with pregnancy can occur in all stages of pregnancy. It is more common in late pregnancy and puerperium, and the incidence is about 0.8 ‰. It is second only to pregnancy with appendicitis, which is higher than non-pregnancy. 50% to 70% of patients have gallstones. Gallbladder duct obstruction at the beginning of gallbladder inflammation, gallbladder enlargement, increased pressure, mucosal congestion, edema, and exudation are called acute simple cholecystitis. If the obstruction is not relieved and the inflammation is not controlled, the lesion can progress to the thickening of the gallbladder wall and purulent exudate, which becomes acute suppurative cholecystitis. If the disease progresses further, the pressure in the gallbladder will continue to increase, and the tension of the gallbladder wall will increase, leading to blood circulation disorders. At this time, gangrene and perforation complications will occur clinically, and pus will enter the bile duct and pancreatic duct, which can cause acute suppurative cholangitis and pancreatitis . If the bile duct obstruction is removed during the course of the disease, the inflammation may gradually subside. Repeated episodes show chronic cholecystitis changes.

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