1. Amrish ranjan singh
Roll no: 03

2. Complications
1. Acute cholecystitis complications.
2. Chronic cholecystitis complications.

3. COMPLICATIONS OF ACUTE
CHOLECYSTITIS
IT CAN LEAD TO PERFORATION
1.Fundus
2.neck
FISTULA FORMATION
1.Cholecystoduodenal
2.cholecystointestinal
3.Cholecystobiliary

4. CHOLECYSTOINTESTINAL FISTULA

5. CHOLECYSTODUODENAL FISTULA

6. CHOLECYSTOBILIARY FISTULA

7.  Peritonitis
 Pericholecystitis abscess
 Empyema gall bladder


septicemia
Rupture and Peritonitis
 Cholangitis
 Septicemia
 Gangrenous gall bladder

8. EMPYEMA GALLBLADDER

9. COMPLICATIONS OF CHRONIC
CHOLECYSTITIS
 Common bile duct obstruction
 Cholangitis
 Pancreatitis
 Mirizzi syndrome

10. MIRIZZI SYNDROME
 Gallstone impacts in the gallbladder wall and





compresses it causing pressure necrosis which further
gets adhered to common bile duct wall.
CLASSIFICATION
TYPE 1-compression of CBD without lumen narrowing
TYPE 2-compression causing CBD lumen narrowing
TYPE 3-compression causing CBD wall necrosis
TYPE 4-cholecysto-choledochal fistula

11. MIRRIZZIS SYNDROME

12. 

THANK YOU