Chronic cholecystitis laboratory findings
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Furqan M M. M.B.B.S[2], Aditya Govindavarjhulla, M.B.B.S. [3]
Overview
Patients with acute cholecystitis are diagnosed based on clinical examination and imaging techniques. However, patients with acute cholecystitis are more likely to manifest abnormal laboratory values, while in chronic cholecystitis the laboratory values are frequently normal. Laboratory findings consistent with the diagnosis of chronic cholecystitis include elevated alkaline phosphatase, leukocytosis, and elevated bilirubin. Amylase may also be elevated.
Laboratory Findings
- Laboratory findings consistent with the diagnosis of chronic cholecystitis include:[1][2][3][4]
- Leukocytosis
- Elevated CRP
- Elevated alkaline phosphate
- Hyperbilirubinemia
- Mild elevation of pancreatic enzymes like amylase or lipase.
References
- ↑ Hafif A, Gutman M, Kaplan O, Winkler E, Rozin RR, Skornick Y (1991). “The management of acute cholecystitis in elderly patients”. Am Surg. 57 (10): 648–52. PMID 1928982.
- ↑ Gruber PJ, Silverman RA, Gottesfeld S, Flaster E (1996). “Presence of fever and leukocytosis in acute cholecystitis”. Ann Emerg Med. 28 (3): 273–7. PMID 8780469.
- ↑ Knab LM, Boller AM, Mahvi DM (2014). “Cholecystitis”. Surg. Clin. North Am. 94 (2): 455–70. doi:10.1016/j.suc.2014.01.005. PMID 24679431.
- ↑ “Gallbladder, Cholecystitis, Acute – StatPearls – NCBI Bookshelf”.
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