The symptoms and signs of chronic cholecystitis are atypical. Most of the symptoms are biliary indigestion, aversion to greasy food, upper abdominal distension, belching, heartburn, etc., which are similar to ulcer disease or chronic appendicitis; sometimes due to stone obstruction of the cystic duct, the attack may be acute, but when the stone moves, When the obstruction is relieved, it improves rapidly. On physical examination, there may be mild tenderness or percussion pain in the gallbladder area; if the gallbladder has hydrops, a round, smooth cystic mass can often be palpated.
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