Only 23 of 89 patients (26%) receiving ursodiol remained free of biliary colic
while waiting for surgery (mean, 90 days), whereas 29 of 88 patients (33%) receiving placebo stayed colic free.
Accurate diagnosis of acute cholecystitis versus a bad case of biliary colic
is not always obvious, but distinguishing between the two has important therapeutic implications.
3] Hepatobiliary and pancreatic ascariasis can cause 5 distinct clinical presentations: biliary colic
, acalculous cholecystitis, acute cholangitis, acute pancreatitis, and hepatic abscess.
and Acute Cholecystitis (Tom Palser & Mark Taylor)
Migration of worms into the biliary tree is a well-known complication, which may result in biliary colic
, cholecystitis, cholangitis, intrahepatic abscesses, or pancreatitis.
In the observation group, 21 patients (24%) experienced recurrent events, including bile duct stones and cholangitis, acute cholecystitis, or biliary colic
Clinical signs of biliary colic
and acute cholecystitis are similar in pregnant and nonpregnant patients: mid-upper gastric or right-upper quadrant pain in 60%-90% of cases; colic in more than 95% of acute cholecystitis cases; and nausea, vomiting, and fatty food intolerance in 30%-50% of cases.