Volume : VIII, Issue : VIII, August - 2019

Clinicopathological study of cholelithiasis in a tertiary hospital in Manipur

Keisham Lokendra Singh

Abstract :

Introduction: Cholelithiasis is one of the commonest medical conditions encountered in surgical practice. The male female ratio is around 1:4 and the documented risk factors include female sex, obesity, hemolytic diseases, hormonal imbalances and metabolic disorders. The presenting symptoms of cholelithiasis vary from asymptomatic gallstones to severe right upper abdominal pain, jaundice and fever. Materials and Methods: This study was a cross–sectional study done in a tertiary care hospital in Imphal, Manipur. 300 cases of cholelithiasis which were diagnosed by ultrasonography were included in the study. The case history, clinical signs and symptoms and ultrasonographic findings were recorded. Open and laparoscopic cholecystectomies were performed depending on the choice of the patients and the specimens were sent for stone analysis and histopathology. Results: The highest incidence of cholelithiasis occurred between 3rd and 6th decade of life and among non vegetarians. Dyspepsia, right upper quadrant pain, belching and abdominal tenderness were the commonest signs and symptoms. There were two cases bile duct injury, Strassburg D and E1 both seen after laparoscopic cholecystectomy. Cholesterol and multiple stones were the most common findings after cholecystectomy and histolpathological examination. HPE also revealed chronic cholecystitis as the commonest pathology with a percentage of 91.66%. Conclusion: The incidence of cholelithiasis is increasing globally and in north–eastern India. It is more common among females in the 4th and 5th decade with high BMI and among non–vegetarians. Cholesterol stones constituted the maximum number of gallstones followed by mixed variety. On HPE, majority of them showed chronic cholecystitis.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

CLINICOPATHOLOGICAL STUDY OF CHOLELITHIASIS IN A TERTIARY HOSPITAL IN MANIPUR, Keisham Lokendra Singh INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-8 | August-2019

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