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Chronic cholecystitis This is the result of recurrent attacks of obstruction and inflammation which results in the changes of chronic inflammation in the gallbladder wall and, often, in the adjacent liver. Clinical features: May be a past hx of attacks of acute cholecystitis Chronic discomfort in the RUQ which is often punctuated by intermittent acute exacerbations Intolerance to fatty foods May be some tenderness in the RUQ Investigation: Gallstones are detected on ultrasound Mx: Cholecystectomy results in a cure |
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