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Complications of Gallstones


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About complications: Complications of Gallstones are secondary conditions, symptoms, or other disorders that are caused by Gallstones. In many cases the distinction between symptoms of Gallstones and complications of Gallstones is unclear or arbitrary.

Complications list for Gallstones: The list of complications that have been mentioned in various sources for Gallstones includes:

Complications of Gallstones: Gallstones can block the normal flow of bile if they lodge in any of the ducts that carry bile from the liver to the small intestine. That includes the hepatic ducts, which carry bile out of the liver; the cystic duct, which takes bile to and from the gallbladder; and the common bile duct, which takes bile from the cystic and hepatic ducts to the small intestine. Bile trapped in these ducts can cause inflammation in the gallbladder, the ducts, or, rarely, the liver. Other ducts open into the common bile duct, including the pancreatic duct, which carries digestive enzymes out of the pancreas. If a gallstone blocks the opening to that duct, digestive enzymes can become trapped in the pancreas and cause an extremely painful inflammation called pancreatitis.

If any of these ducts remain blocked for a significant period of time, severe—possibly fatal—damage can occur, affecting the gallbladder, liver, or pancreas. Warning signs of a serious problem are fever, jaundice, and persistent pain. 1

Sometimes gallstones may make their way out of the gallbladder and into the cystic duct, the channel through which bile travels from the gallbladder to the small intestine. If stones become lodged in the cystic duct and block the flow of bile, they can cause cholecystitis, an inflammation of the gallbladder. Blockage of the cystic duct is a common complication caused by gallstones.

A less common but more serious problem occurs if the gallstones become lodged in the bile ducts between the liver and the intestine. This condition can block bile flow from the gallbladder and liver, causing pain and jaundice. Gallstones may also interfere with the flow of digestive fluids secreted from the pancreas into the small intestine, leading to pancreatitis, an inflammation of the pancreas.

Prolonged blockage of any of these ducts can cause severe damage to the gallbladder, liver, or pancreas, which can be fatal. Warning signs include fever, jaundice, and persistent pain. 2

Footnotes:
1. excerpt from Gallstones: NIDDK
2. excerpt from Gallstones: NWHIC

Last revision: May 27, 2003

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Last updated: 7 September, 2007 (17:51)