A 50-year-old patient complains about having pain attacks in the right subcostal area for about a year. The pain arises mainly after taking fatty food. Over the last week the attacks occurred daily and became more painful. On the 3rd day of hospitalization the patient presented with icteritiousness of skin and scleras, light-coloured feces and dark urine. In blood: neutrophilic leukocytosis - 13,1 × 109/l, ESR - 28 mm/h. What is the most likely diagnosis?

Answer options

1. Chronic calculous cholecystitis
2. Chronic cholangitis, exacerbation stage
3. Chronic recurrent pancreatitis
4. Fatty degeneration of liver
5. Hypertensive dyskinesia of gallbladder

Explanation

Fats are usually digested or emulsified by bile from the gallbladder. With increased pain during its secretions and the presence of jaundice, this is Chronic cholecystitis. Chronic cholecystitis is gallbladder inflammation that has lasted a long time. It almost always results from gallstones and from prior attacks of acute cholecystitis. It is characterized by repeated attacks of pain (biliary colic) that occur when gallstones periodically block the cystic duct.