Acute Calculous Cholecystitis
Patient’s Problem
A 45-year-old office worker, Mr. Rajesh (name changed to protect identity), presented with a 12-hour history of severe pain in his right upper abdomen. The pain worsened after eating a fatty meal and was accompanied by nausea, vomiting, and a fever.
Diagnosis
Based on his symptoms and physical exam, the doctor suspected acute cholecystitis.
Findings included:
- Physical Exam: He had tenderness and a positive Murphy’s sign, a classic indicator of gallbladder inflammation.
- Lab Tests: A blood test showed elevated white blood cells (14,500/mm3), indicating an infection.
- Ultrasound: The ultrasound confirmed the diagnosis, revealing gallstones, a thickened gallbladder wall, and fluid around the gallbladder.
Treatment
Mr. Rajesh was admitted to the hospital for treatment.
- Supportive Care: He was given IV fluids for hydration and pain medication.
- Antibiotics: He was started on IV antibiotics to treat the infection.
- Definitive Treatment: The plan was to perform a laparoscopic cholecystectomy (gallbladder removal surgery) once his condition stabilized.
Result
The prognosis is good with early intervention. Timely surgery will prevent complications like rupture or widespread infection. His symptoms are expected to resolve after the gallbladder is removed. Consulting the best MD physician in Vadodara ensured a timely diagnosis and treatment.
Note: This case study is for illustrative purposes only and should not replace professional medical advice. If you have concerns about your health, please consult with a qualified healthcare provider.
