Cholecystitis chronic.

Etiology, pathogenesis. The chronic inflammation of a wall of a cholic bubble is in most cases bound to a cloelithiasis or its complications. The reason of a chronic acalculous cholecystitis can be parasitogenic infections (a lambliasis, etc.), bacteriemic flora (E. coli, streptococcuses, staphilococcuses, etc.), Less often disease develops as a result of a sepsis, a trauma, combustions. Penetration of microbial flora into a cholic bubble occurs contact (from an intestine), hematogenic or lymphogenous by. Contributing factor of occurrence of a bacteriemic cholecystitis is stagnation of bile in a cholic bubble owing to a cloelithiasis, a prelum and excesses of cholic ducts, a dyskinesia of a cholic bubble and cholic ways. To stagnation of bile in a cholic bubble also promote a vesceral ptosis, pregnancy, an inactive way of life, rare receptions of nutrition, etc. the Immediate jerk to flash of inflammatory process in a cholic bubble often are a hyperalimentation, especially reception very fat and a spicy food, alcoholic drinks, acute inflammatory, process in other organ (an angina, a pneumonia, an adnexitis, etc.).

Signs, current. The chronic calculous cholecystitis is more often shown by relapsing attacks of a cholic colic, less often - a constant dull ache in right hypochondrium. For an acalculous cholecystitis the pain in the field of the right hypochondrium of constant character or arising through 1-3 hours after reception of plentiful and especially fat nutrition is more characteristic blunt. The sensation of a bitter taste and metal taste in a mouth, an eructation air, a nausea, a meteorism, disturbance of a defecation (alternating a constipation and diarrhea is frequent), and also irritability, a sleeplessness are frequent; the icterus is not characteristic.