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Acute cholecystitis ,[object Object]
Gallbladder   anatomy
Gallbladder anatomy
Acute cholecystitis ,[object Object],[object Object]
Etiology and pathogenesis. ,[object Object]
Causes of cholecystitis ,[object Object],[object Object],[object Object]
What is that? It might be  pineapple ?
What is that? It might be precious stone?
What is that? It might be jewel?
No!  This  is a gall-stone.
No! This  is a gall-stone
No! This  is a gall-stone again No! This  is a gall-stone again No! This  is a gall-stone again
Causes of cholecystitis ,[object Object],[object Object],[object Object]
Other causes of cholecystitis ,[object Object],[object Object],[object Object],[object Object]
Pathomorphology   of acute cholecystitis ,[object Object]
Pathomorphology   of cholecystitis ,[object Object],[object Object]
Gangrenous cholecystitis
Necrosis of the gall bladder.
Classification: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complication:   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical management:   ,[object Object]
Pain syndrome .  ,[object Object]
Dyspepsia syndrome   :   ,[object Object]
Objective examination   ,[object Object]
Objective examination   ,[object Object]
Objective examination   ,[object Object]
The following symptoms are diagnosed in acute cholecystitis: ,[object Object],[object Object],[object Object]
Diagnostic program: ,[object Object],[object Object],[object Object]
Cholecystography
Cholecystography with contrast agent
CT investigation
Ultrasonography
Ultrasonography
Ultrasonography
Ultrasonography
Cholangiography
Differential diagnosis  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object]
The surgery ,[object Object]
Consequently, L aparoscopic  cholecystectomy is the  Gold standard  for the  gall bladder  planed  surgery.  ,[object Object]
Urgent  operations need the open surgical approach  and handmade a gall bladder surgery.  ,[object Object]
C holecystostomy ,[object Object]
C holecystostomy
The surgery ,[object Object],[object Object]
Complications  a f ter  cholecystectomy  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thank you! ,[object Object]

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Acute cholecystitis.