[Incarcerated gallbladder in cholecystitis]

Area of Science:

• Gastroenterology
• Surgical Pathology

Context:

• Gallbladder dysfunction is a common complication in patients presenting with cholecystitis and related biliary diseases.
• A significant proportion of these patients exhibit a non-functioning gallbladder, impacting biliary system dynamics.

Purpose:

• To investigate the incidence and characteristics of non-functioning gallbladders in patients with cholecystitis.
• To identify the causes and diagnostic methods for escaped gallbladders.
• To establish indications for surgical intervention, specifically cholecystectomy.

Summary:

• This study examined 206 patients with cholecystitis and similar conditions, finding that 112 (65%) had non-functioning gallbladders.
• The gallbladder's escape into the biliary system was categorized as functional or organic, with causes including destructive changes, strictures, gallstones, shrinkage, or hydropsy.
• Reliable preoperative diagnosis using chromoduodenal catheterization and cholecystocholangiography, alongside clinical data, supports cholecystectomy for absolute indications.

Impact:

• Highlights the high prevalence of gallbladder non-functionality in cholecystitis, emphasizing the need for accurate diagnostic approaches.
• Provides etiological insights into escaped gallbladders, aiding in differential diagnosis and treatment planning.
• Reinforces the role of cholecystectomy as a definitive treatment for non-functioning and escaped gallbladders based on preoperative assessment.