Complications-cholelithiasis

  • Cholecystitis: 20% of Pts with symptomatic biliary pain progress to cholecystitis w/in 2 y

  • Choledocholithiasis → cholangitis or gallstone pancreatitis

  • Mirizzi syndrome: hepatic duct compression by GB stone → jaundice, biliary obstruction

  • Cholecystenteric fistula: stone erodes through gallbladder into bowel, ~15% w/ colon

  • Gallstone ileus: SBO (usually at term ileum) due to stone in intestine that passed thru fistula

  • Gallbladder carcinoma: ~1% in U.S., often found late stage, a/w poor prognosis