These symptoms may resemble those of a renal stone pain. Often, attacks occur after a particularly fatty meal and almost always happen at night, and after drinking.
In addition to pain, nausea, and vomiting, a person may experience a fever. If the stones block the duct and cause bilirubin to leak into the bloodstream and surrounding tissue, there may also be jaundice and itching. This can also lead to confusion. If this is the case, the liver enzymes are likely to be raised.
Diagnosis is than typically confirmed by ultrasound. Complications may be detected on blood tests. In some special situations MRCP or a CT scan may be required to study details about the complicated status of the gallstones. Surgical – Cholecystectomy (gallbladder removal) has a 99% chance of eliminating the recurrence of cholelithiasis. Surgery is only indicated in symptomatic patients.
There are two surgical options for cholecystectomy
• Laparoscopic cholecystectomy, introduced in the 1980s, is performed via three to four small puncture holes for a camera and instruments. Post-operative care typically includes a same-day discharge or a one night hospital stay, followed by a few days of home rest and pain medication.