Gallbladder Mucocele Clinical Presentation

Updated: Jun 08, 2017
  • Author: R Vijayaraghavan, MBBS, MS, FRCS(Edin); Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Presentation

History and Physical Examination

Typical symptoms of a gallbladder mucocele include the following:

  • Right-upper-quadrant (RUQ) pain or epigastric pain and discomfort
  • Nausea and vomiting

Continuance of pain or persistence of tenderness for longer than 6 hours indicates possible acute cholecystitis. Fever and chills suggest infected bile, with a possible empyema of the gallbladder. Jaundice is unusual, except when there is coexisting obstruction of the common bile duct (CBD), either by stones or by extrinsic compression (Mirizzi syndrome).

Typically, minimal acute inflammatory signs are present. A large, palpable, somewhat (albeit usually minimally) tender mass is usual; at times, the gallbladder may even be felt down in the pelvis. [1, 2, 3, 8, 9]