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Cholecystitis

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Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...

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Updated: Apr 17, 2026

Author Spotlight: Advancing Hepatobiliary and Pancreatic Tumor Treatment with Minimally Invasive Surgical Techniques

Author Spotlight: Advancing Hepatobiliary and Pancreatic Tumor Treatment with Minimally Invasive Surgical Techniques

Published on: September 27, 2024

Cholelithiasis presented as chronic right back pain.

Francesc Bobé-Armant¹, Maria Eugenia Buil-Arasanz², Griselda Trubat-Muñoz³

¹Department of Primary Care, Catalan Health Institute, Primary Care Center Jaume I, Tarragona, Spain.

Journal of Family Medicine and Primary Care

|February 7, 2015

Summary

This summary is machine-generated.

Chronic right back pain can signal biliary lithiasis or chronic cholecystitis, even when atypical. Early diagnosis using endoscopic ultrasound is key for symptomatic patients with negative initial ultrasounds to prevent complications.

Keywords:

Abdominal ultrasound atypical manifestation back pain biliary lithiasis cholecystitis cholelithiasis chronic right back pain clinical practice diagnostic test primary care

Related Experiment Videos

Last Updated: Apr 17, 2026

Author Spotlight: Advancing Hepatobiliary and Pancreatic Tumor Treatment with Minimally Invasive Surgical Techniques

Author Spotlight: Advancing Hepatobiliary and Pancreatic Tumor Treatment with Minimally Invasive Surgical Techniques

Published on: September 27, 2024

Area of Science:

Gastroenterology
Hepatology
Diagnostic Imaging

Background:

Biliary lithiasis affects 10% of the global population, with only 20% experiencing symptoms.
Chronic right back pain is an uncommon presentation of biliary lithiasis and chronic cholecystitis.

Observation:

A case presented with chronic right back pain, an atypical symptom for biliary conditions.
Abdominal ultrasound is the primary diagnostic tool for biliary lithiasis.

Findings:

A negative abdominal ultrasound in patients with biliary colic symptoms warrants further investigation.
Endoscopic ultrasound can detect microlithiasis, a cause of biliary colic.

Implications:

Recognizing atypical presentations of common biliary diseases is crucial for timely diagnosis.
Understanding the limitations of diagnostic tests like abdominal ultrasound is vital.
This case highlights the need for enhanced clinical awareness, particularly in primary care, to avoid diagnostic delays and improve patient prognosis.