... choleithiasis without extra hepatic bile obstruction
Cholelithiasis - normally a balance of bile salts, lecithin and cholesterol keep gallstones from forming. If there are abnormally high levels of bile salts or, more commonly, cholesterol, stones can form. Symptoms usually occur when the stones block one of the biliary ducts or gallstones may be discovered upon routine x-ray or abdominal CT study.
Acute cholecystitis is a sudden inflammation of the gallbladder that causes severe abdominal pain.
In 90% of cases, acute cholecystitis is caused by gallstones in the gallbladder. Severe illness and, rarely, tumors of the gallbladder may also cause cholecystitis.
Acute cholecystitis causes bile to become trapped in the gallbladder. The buildup of bile causes irritation and pressure in the gallbladder. This can lead to bacterial infection and perforation of the organ.
So basically gallstones (cholelithiasis) block ducts in the liver and cause acute cholecystitis i.e. sudden inflammation of the liver.
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