People with diabetes are at particular risk for serious complications.Chronic gallbladder disease (chronic cholecystitis) is marked by gallstones and low-grade inflammation.In such cases the gallbladder may become scarred and stiff. Death, even from symptomatic gallstones, is very rare, accounting for only 0.2% of annual deaths in the United States. If they do occur, complications usually develop from stones in the bile duct or after surgery.
Infection develops in about 20% of these cases, which increases the danger.
Acute cholecystitis can progress to gangrene or perforation of the gallbladder if left untreated.
Treatment for Chronic Acalculous Gallbladder Disease. Most patients (75 - 90%) diagnosed with chronic acalculous gallbladder disease are relieved of their symptoms by cholecystectomy (removal of the gallbladder). Surgery is most warranted in these patients when the symptoms are caused by impaired emptying of the gallbladder.
About 90% of gallstones provoke no symptoms at all.
Symptoms include fever, rapid heartbeat, fast breathing, and mental confusion.
Among the conditions that can lead to septicemia are the following: When gallstones lodge in the common bile duct (choledocholithiasis) instead of the gallbladder, serious complications can occur. Infection in the common bile duct (cholangitis) from obstruction is common and serious.
Cholesterol gallstones typically form in the following way: Secondary Common Bile Duct Stones.
In most cases, common bile duct stones originally form in the gallbladder and pass into the common duct (called secondary stones).
Either surgery or a procedure known as endoscopic sphincterotomy is required to open and drain the ducts. Choledocholithiasis is responsible for most cases of pancreatitis (inflammation of the pancreas), a condition that can be life threatening.