| Complications in cholecystitis cases include perforation of the gallbladder; abscess formation in the gallbladder; development of an abnormal tube-like passage (fistula) from the gallbladder to the intestine, colon, or skin; gangrene (gangrenous cholecystitis); the presence of gas-forming organisms (e.g., Clostridium welchii or E. coli) within the wall or opening of the gallbladder, usually in diabetic or elderly individuals; pus in the gallbladder and abdominal cavity (empyema); inflammation of the bile ducts (cholangitis), liver (hepatitis), or pancreas (pancreatitis); intestinal obstruction (gallstone ileus); and cancer (neoplasm). Individuals treated without surgery are at higher risk for gallbladder perforation, which occurs in 10% of cases and has a 25% mortality rate (Gladden). Complications of laparoscopic cholecystectomy can include bleeding, pancreatitis, leakage from the duct stump, and major bile duct injury. |
Source: Medical Disability Advisor