Gut Instincts: A Clinician's Handbook of Digestive and Liver Diseases

Eric Esrailian, MD, MPH

Chapter 13: Biliary Diseases (continued)

Yasser M. Bhat, MD; Inder M. Singh, MD

This chapter focuses on an overview of the diagnosis and management of commonly encountered biliary diseases. Acute inflammation of the gallbladder resulting in pain, fevers, and leukocytosis. The typical presentation is fevers, severe right upper quadrant pain, and possibly nausea and vomiting. The pain will often last hours and may radiate to the back or right shoulder. Classically, the pain will occur with intake of a large fatty meal. Of note, the presentation of acute cholecystitis is different from biliary colic, which is often transient and should not be accompanied by fevers. The…