How to Diagnose Suspected Gallbladder Inflammation

If gallbladder inflammation is suspected, it can be confirmed through various imaging tests such as abdominal ultrasound, CT scan, or MRI. Gallbladder inflammation is categorized into two types: acute and chronic. Acute cholecystitis usually presents with sudden, intense pain in the upper right abdomen, often accompanied by nausea, vomiting, fever, abnormal liver function, and sometimes jaundice. On the other hand, chronic cholecystitis may cause recurring mild discomfort or pain in the upper or upper-right quadrant of the abdomen. Some patients may also experience pain radiating to the right shoulder or back, along with symptoms like indigestion, bloating, acid reflux, and nausea.

It's important to note that these symptoms are not exclusive to gallbladder disease. To accurately diagnose cholecystitis, both clinical symptoms and imaging studies must be evaluated together. In cases of acute cholecystitis, imaging often reveals an enlarged gallbladder with surrounding fluid accumulation, and gallstones are commonly found lodged in the neck of the gallbladder, which is typically the underlying cause. Chronic cases may not show significant enlargement, but instead may display a thickened or rough gallbladder wall, and in some cases, a shrunken gallbladder.

For further evaluation, CT and MRI scans are often used to rule out other serious conditions such as bile duct tumors or obstructions. These advanced imaging techniques also provide a clearer view of the gallbladder's structure, helping doctors determine whether surgical intervention is necessary. Early and accurate diagnosis plays a crucial role in managing gallbladder inflammation effectively and preventing complications.