What Happens If Cholecystitis Is Left Untreated

Cholecystitis, or inflammation of the gallbladder, may require different approaches depending on its type and underlying causes. In cases of chronic cholecystitis where there are no gallstones or bile buildup—only minor changes like a slightly thickened or rough gallbladder wall as seen on ultrasound—watchful waiting or conservative management may be sufficient. However, acute cholecystitis demands prompt medical attention, as delaying treatment can lead to serious and potentially life-threatening complications.

One potential complication is liver abscess. Since the gallbladder is located close to the liver, infection can spread, resulting in a pus-filled pocket in the liver tissue. This condition can progress to sepsis, a dangerous systemic infection that requires emergency care.

Another serious concern is obstructive cholangitis. If gallstones migrate to the common bile duct, they can block the flow of bile and cause acute cholangitis, a severe infection that can rapidly become fatal without treatment. This blockage can also lead to jaundice, fever, and organ failure.

Long-standing gallbladder disease also raises the risk of cancer. Patients with chronic gallbladder inflammation and gallstones for more than a decade may develop gallbladder cancer, a highly aggressive malignancy with a poor prognosis. Early detection and treatment are crucial to preventing such outcomes.

In summary, if you experience symptoms of gallbladder disease or have been diagnosed with gallstones, it's essential to seek professional medical advice and follow a recommended treatment plan.