{"id":1556,"date":"2025-10-30T11:18:40","date_gmt":"2025-10-30T08:18:40","guid":{"rendered":"https:\/\/wiki.dev.voka.io\/diseases\/uncategorized\/cholecystite\/"},"modified":"2025-10-31T12:28:53","modified_gmt":"2025-10-31T09:28:53","slug":"cholecystite","status":"publish","type":"diseases_post","link":"https:\/\/wiki.dev.voka.io\/fr\/maladies\/hepatiques\/cholecystite\/","title":{"rendered":"Chol\u00e9cystite&nbsp;: \u00e9tiologie, classification, sympt\u00f4mes, diagnostic et traitement"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p>La chol\u00e9cystite<strong><\/strong>est une maladie caract\u00e9ris\u00e9e par une inflammation de la v\u00e9sicule biliaire r\u00e9sultant de son obstruction (chol\u00e9cystite lithiasique) et de trouble du retour de la bile ou d\u2019autres causes (chol\u00e9cystite non lithiasique).<\/p>\n<h2 class=\"wp-block-heading\" id=\"classification-des-cholecystites\"><strong>Classification des chol\u00e9cystites<\/strong><\/h2>\n<h3 class=\"wp-block-heading\" id=\"selon-l-evolution-de-la-maladie\"><strong>Selon l\u2019\u00e9volution de la maladie<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li>Aigu\u00eb ;<\/li>\n<li>Chronique.<\/li>\n<\/ul>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/cholecystitis\/1-multiple-mixed-stones-in-gallbladder.webp\" alt=\"Chol\u00e9cystite aigu\u00eb catarrhale secondaire \u00e0 la chol\u00e9lithiase\"><figcaption class=\"wp-element-caption\">Chol\u00e9cystite aigu\u00eb catarrhale secondaire \u00e0 la chol\u00e9lithiase \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/1c16d781-5752-45cb-b117-892b748f62eb\/249c46b3-7734-417d-a49e-70515c56823d\/02ccb646-502f-4b6b-a87b-0a7c5e8574a5\/83f9c9a2-3f38-4a1d-9a68-4178c5be50b7\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/cholecystitis\/2-chronic-cholecystitis.webp\" alt=\"Chol\u00e9cystite chronique en dehors de l'exacerbation secondaire \u00e0 la chol\u00e9lithiase\"><figcaption class=\"wp-element-caption\">Chol\u00e9cystite chronique en dehors de l\u2019exacerbation secondaire \u00e0 la chol\u00e9lithiase \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/1c16d781-5752-45cb-b117-892b748f62eb\/249c46b3-7734-417d-a49e-70515c56823d\/02ccb646-502f-4b6b-a87b-0a7c5e8574a5\/22186819-5288-4cb5-a57e-22129597be47\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<h3 class=\"wp-block-heading\" id=\"selon-l-etiologie\"><strong>Selon l\u2019\u00e9tiologie<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li>Lithiasique (calculeuse) ;<\/li>\n<li>Non lithiasique.<\/li>\n<\/ul>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/cholecystitis\/3-calculous-gallstone-cholecystitis.webp\" alt=\"Chol\u00e9cystite aigu\u00eb lithiasique catarrhale\"><figcaption class=\"wp-element-caption\">Chol\u00e9cystite aigu\u00eb lithiasique catarrhale \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/1c16d781-5752-45cb-b117-892b748f62eb\/249c46b3-7734-417d-a49e-70515c56823d\/02ccb646-502f-4b6b-a87b-0a7c5e8574a5\/5e669c24-c738-4bb2-a319-c6600c5497f5\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/cholecystitis\/4-acalculous-cholecystitis.webp\" alt=\"Chol\u00e9cystite aigu\u00eb non lithiasique catarrhale\"><figcaption class=\"wp-element-caption\">Chol\u00e9cystite aigu\u00eb non lithiasique catarrhale \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/1c16d781-5752-45cb-b117-892b748f62eb\/c994bb61-7e44-4324-81d7-0359f525c1f1\/1e24f8fb-fcec-4fd5-989c-8d2a7a8b1e59\/9d2bbb4e-492d-45c6-ac7b-98459b777aac\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<h3 class=\"wp-block-heading\" id=\"selon-la-forme-clinique-et-morphologique\"><strong>Selon la forme clinique et morphologique<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li>Catarrhale ;<\/li>\n<li>Phlegmoneuse ;<\/li>\n<li>Gangr\u00e9neuse.<\/li>\n<\/ul>\n<p><a href=\"https:\/\/catalog.voka.io\/en\/models\/1c16d781-5752-45cb-b117-892b748f62eb\/c994bb61-7e44-4324-81d7-0359f525c1f1\/1e24f8fb-fcec-4fd5-989c-8d2a7a8b1e59\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Mod\u00e8les 3D<\/a> des chol\u00e9cystites selon la forme clinique et morphologique :<\/p>\n<div class=\"carousel-block\">\n<div class=\"swiper carousel-swiper carousel-swiper-block_69efe32aaa74a\">\n<div class=\"swiper-wrapper\">\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/cholecystitis\/5-catarrhal-cholecystitis.webp\" alt=\"Chol\u00e9cystite aigu\u00eb catarrhale\"><span class=\"small-text-article text-main-text-color\">Chol\u00e9cystite aigu\u00eb catarrhale<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/cholecystitis\/6-cholecystitis-phlegmonous.webp\" alt=\"Chol\u00e9cystite aigu\u00eb phlegmoneuse\"><span class=\"small-text-article text-main-text-color\">Chol\u00e9cystite aigu\u00eb phlegmoneuse<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/cholecystitis\/7-gangrenous-cholecystitiswebp\" alt=\"Chol\u00e9cystite aigu\u00eb gangr\u00e9neuse\"><span class=\"small-text-article text-main-text-color\">Chol\u00e9cystite aigu\u00eb gangr\u00e9neuse<\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"swiper-article-carousel__controls\">\n<div class=\"swiper-article-carousel__pagination-container swiper-article-carousel__pagination-container-block_69efe32aaa74a\"><\/div>\n<div class=\"swiper-article-carousel__arrows\"><button class=\"swiper__arrow swiper__arrow--prev carousel-swiper-button-prev swiper__arrow swiper__arrow--prev carousel-swiper-button-prev-block_69efe32aaa74a\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><button class=\"swiper__arrow swiper__arrow--next carousel-swiper-button-next swiper__arrow swiper__arrow--next carousel-swiper-button-next-block_69efe32aaa74a\" tabindex=\"0\" aria-label=\"Next slide\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><\/div>\n<\/div>\n<\/div>\n<p><script defer>\n    document.addEventListener('DOMContentLoaded', function() {\n        const imagesCarouselSwiper = new Swiper('.carousel-swiper-block_69efe32aaa74a', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-carousel__pagination-container-block_69efe32aaa74a',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.carousel-swiper-button-next-block_69efe32aaa74a',\n                prevEl: '.carousel-swiper-button-prev-block_69efe32aaa74a',\n            },\n        })\n    })\n<\/script><\/p>\n<h3 class=\"wp-block-heading\" id=\"selon-le-degre-de-gravite\"><strong>Selon le degr\u00e9 de gravit\u00e9<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li>Forme l\u00e9g\u00e8re (inflammations mod\u00e9r\u00e9es dans la v\u00e9sicule biliaire) ;<\/li>\n<li>Forme moyenne (l\u2019inflammation dans la v\u00e9sicule biliaire dure plus de 72 heures, des l\u00e9sions destructives sont pr\u00e9sentes dans la paroi de la v\u00e9sicule biliaire) ;<\/li>\n<li>Forme grave (destruction totale de la v\u00e9sicule biliaire avec des signes de la d\u00e9faillance multivisc\u00e9rale).<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"etiologie-et-pathogenese-des-cholecystites\"><strong>\u00c9tiologie et pathogen\u00e8se des chol\u00e9cystites<\/strong><\/h2>\n<p>L\u2019inflammation de la paroi de la v\u00e9sicule biliaire est provoqu\u00e9e par l\u2019exposition \u00e0 des facteurs dommageables.<\/p>\n<p>Selon des facteurs causaux, on distingue la chol\u00e9cystite lithiasique et la chol\u00e9cystite non lithiasique.<\/p>\n<ol class=\"wp-block-list\">\n<li><strong>Chol\u00e9cystite lithiasique<\/strong><\/li>\n<\/ol>\n<p>La chol\u00e9cystite lithiasique<strong><\/strong>se d\u00e9veloppe dans le contexte de la chol\u00e9lithiase, lorsqu\u2019un ou plusieurs calculs biliaires obstruent le canal biliaire ou le col de la v\u00e9sicule biliaire. En raison de l\u2019obstruction, la pression intra-v\u00e9sicale augmente, la membrane muqueuse est endommag\u00e9e, le trophisme local de la paroi v\u00e9sicale est perturb\u00e9 et des substances biologiquement actives ainsi que des facteurs inflammatoires sont lib\u00e9r\u00e9s.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/cholecystitis\/8-calculous-cholecystitis.webp\" alt=\"Concr\u00e9tions multiples dans la v\u00e9sicule biliaire, dont certaines sont localis\u00e9es dans le conduit v\u00e9siculaire\"><figcaption class=\"wp-element-caption\">Concr\u00e9tions multiples dans la v\u00e9sicule biliaire et le conduit chol\u00e9doque \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/1c16d781-5752-45cb-b117-892b748f62eb\/249c46b3-7734-417d-a49e-70515c56823d\/02ccb646-502f-4b6b-a87b-0a7c5e8574a5\/c0548f33-b338-4617-83ab-cdc1db545f68\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<p>Le facteur bact\u00e9rien dans le d\u00e9veloppement de la chol\u00e9cystite secondaire \u00e0 la chol\u00e9lithiase n\u2019est not\u00e9 que dans 50 \u00e0 75 % des cas. Dans la plupart des cas, il est possible de d\u00e9tecter des bact\u00e9ries \u00e0 Gram n\u00e9gatif, telles que <em>E. coli<\/em>, <em>Klebsiella spp.<\/em>, <em>Pseudomonas spp.<\/em> et <em>Enterobacter spp.<\/em>, des bact\u00e9ries \u00e0 Gram positif,\u00a0telles que <em>Enterococcus spp.<\/em> et <em>Streptococcus spp.<\/em>, ainsi que des ana\u00e9robies, comme <em>Clostridium spp.<\/em><\/p>\n<ol start=\"2\" class=\"wp-block-list\">\n<li><strong>Chol\u00e9cystite non lithiasique<\/strong><\/li>\n<\/ol>\n<p>La chol\u00e9cystite non lithiasique<strong><\/strong>se d\u00e9veloppe dans le contexte d\u2019une alt\u00e9ration de la contractilit\u00e9 de la v\u00e9sicule biliaire, d\u2019une infection h\u00e9matog\u00e8ne, de maladies syst\u00e9miques, d\u2019infections intestinales ou d\u2019une pathologie cong\u00e9nitale des voies biliaires (par exemple, un kyste du chol\u00e9doque). Tous les facteurs ci-dessus contribuent au d\u00e9veloppement de l\u2019inflammation dans la paroi de la v\u00e9sicule biliaire par le m\u00eame m\u00e9canisme que dans la chol\u00e9cystite lithiasique.<\/p>\n<h2 class=\"wp-block-heading\" id=\"tableau-clinique-de-la-cholecystite\"><strong>Tableau clinique de la chol\u00e9cystite<\/strong><\/h2>\n<p>Les manifestations cliniques de la chol\u00e9cystite sont diff\u00e9rentes et comprennent les syndromes suivants\u00a0:<\/p>\n<ul class=\"wp-block-list\">\n<li>Syndrome douloureux ;<\/li>\n<li>Syndrome dyspeptique ;<\/li>\n<li>Syndrome inflammatoire ;<\/li>\n<li>Syndrome p\u00e9riton\u00e9al ;<\/li>\n<li>Ict\u00e8re m\u00e9canique.<\/li>\n<\/ul>\n<p>Le syndrome douloureux est caract\u00e9ris\u00e9 par une crise de colique biliaire. La crise peut \u00eatre soulag\u00e9e spontan\u00e9ment ou suite \u00e0 l\u2019administration d\u2019antispasmodiques. La douleur est intense et localis\u00e9e au niveau de l\u2019hypochondre droit. Parfois, la douleur peut irradier dans les zones adjacentes (lombaire, omoplate ou \u00e9paule). Avec la progression de la maladie, la douleur peut s\u2019aggraver et des sympt\u00f4mes d\u2019irritation p\u00e9riton\u00e9ale (syndromes p\u00e9riton\u00e9aux) peuvent \u00e9galement appara\u00eetre.<\/p>\n<p>Dans le contexte du syndrome douloureux, des troubles dyspeptiques peuvent se d\u00e9velopper, se manifestant par des naus\u00e9es, des vomissements et une sensation de go\u00fbt amer dans la bouche. Les vomissements ne soulagent g\u00e9n\u00e9ralement pas et peuvent \u00eatre uniques ou r\u00e9p\u00e9titifs.<\/p>\n<p>D\u00e8s les premiers jours de la maladie, le patient observe une \u00e9l\u00e9vation de la temp\u00e9rature, d\u2019abord \u00e0 des valeurs subf\u00e9briles, puis f\u00e9briles \u00e0 mesure que la maladie \u00e9volue.<\/p>\n<p>Lors de l\u2019examen de ces patients, il convient de pr\u00eater attention \u00e0 la pr\u00e9sence d\u2019ict\u00e8re de la peau, de la scl\u00e8re et des muqueuses. On observe souvent un brunissement des urines et une d\u00e9coloration des selles. Ces sympt\u00f4mes apparaissent dans le contexte d\u2019une obstruction du syst\u00e8me h\u00e9patobiliaire par une concr\u00e9tion.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/cholecystitis\/9-multiple-cholesterol-stones-in-gallbladder.webp\" alt=\"Concr\u00e9tions multiples dans la v\u00e9sicule biliaire et le conduit chol\u00e9doque\"><figcaption class=\"wp-element-caption\">Concr\u00e9tions multiples dans la v\u00e9sicule biliaire et le conduit chol\u00e9doque \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/1c16d781-5752-45cb-b117-892b748f62eb\/249c46b3-7734-417d-a49e-70515c56823d\/02ccb646-502f-4b6b-a87b-0a7c5e8574a5\/75338edc-ecb4-4d04-8e1a-ee4be9d43748\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"diagnostic-des-cholecystites\"><strong>Diagnostic des chol\u00e9cystites<\/strong><\/h2>\n<p>Le diagnostic de la maladie repose sur les m\u00e9thodes d\u2019examen cliniques, de laboratoire et instrumentales\u00a0:<\/p>\n<ol class=\"wp-block-list\">\n<li><strong>M\u00e9thodes d\u2019examen cliniques<\/strong> : examen, d\u00e9tection de la temp\u00e9rature corporelle, calcule de la fr\u00e9quence cardiaque (FC), fr\u00e9quence respiratoire (FR), mesure de la pression art\u00e9rielle (PA) et palpation abdominale.<\/li>\n<li><strong>M\u00e9thodes d\u2019examen de laboratoire <\/strong> : h\u00e9mogramme, analyse g\u00e9n\u00e9rale d\u2019urine, examen biochimique du sang (bilan h\u00e9patique, facteurs inflammatoires et composition \u00e9lectrolytique). Lorsqu\u2019un patient pr\u00e9sente un \u00e9tat grave, une analyse de son \u00e9tat acido-basique est r\u00e9alis\u00e9e.<\/li>\n<li><strong>M\u00e9thodes d\u2019examen instrumentales<\/strong> : \u00e9chographie, radiographie de l\u2019abdomen et du thorax sans pr\u00e9paration, tomodensitom\u00e9trie (TDM) et fibroscopie \u0153so-gastro-duod\u00e9nal (FOGD).<\/li>\n<\/ol>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Retrouvez d\u2019autres contenus scientifiquement exacts sur nos m\u00e9dias sociaux<\/p>\n<p><span class=\"social-banner-text text-grey\">Abonnez-vous et ne manquez pas les derni\u00e8res ressources<\/span><\/p>\n<div class=\"social-links-wrapper\"><a class=\"social-icon-link\" href=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/facebook.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.instagram.com\/voka.io\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/insta.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.linkedin.com\/company\/voka-io\/posts\/?feedView=all\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/linkedin.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.youtube.com\/@vokaio\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/youtube.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.pinterest.com\/voka3danatomyandpathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/pinterest.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.tiktok.com\/@voka.io\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/tiktok.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/discord.gg\/7ejUpq8DRR\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/discord.svg\" alt=\"social link\"><\/a><\/div>\n<\/div>\n<p><img decoding=\"async\" class=\"social-banner-image\" loading=\"lazy\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/social-media-banner-mobile-image.webp\" alt=\"Banner background\"><\/div>\n<h2 class=\"wp-block-heading\" id=\"traitement-de-la-cholecystite\"><strong>Traitement de la chol\u00e9cystite<\/strong><\/h2>\n<p>Il existe des m\u00e9thodes de traitement conservatrices et chirurgicales.<\/p>\n<h3 class=\"wp-block-heading\" id=\"methodes-de-traitement-conservatrices\"><strong>M\u00e9thodes de traitement conservatrices<\/strong><\/h3>\n<p>La th\u00e9rapie conservatrice vise \u00e0 soulager l\u2019\u00e9tat aigu et \u00e0 pr\u00e9parer le patient \u00e0 une intervention chirurgicale ult\u00e9rieure.<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>Pour soulager la douleur<\/strong>, des anti-inflammatoires non st\u00e9ro\u00efdiens (AINS) et des antispasmodiques sont administr\u00e9s.<\/li>\n<li><strong>Pour la d\u00e9sintoxication<\/strong>, une th\u00e9rapie par perfusion est r\u00e9alis\u00e9e afin de r\u00e9tablir l\u2019\u00e9quilibre eau-\u00e9lectrolyte.<\/li>\n<li><strong>En cas de signes d\u2019infection bact\u00e9rienne<\/strong>, des antibiotiques sont prescrits en tenant compte de la sensibilit\u00e9 de la flore bact\u00e9rienne et de l\u2019anamn\u00e8se allergologique du patient.<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"methodes-de-traitement-chirurgicales\"><strong>M\u00e9thodes de traitement chirurgicales<\/strong><\/h3>\n<p>L\u2019ablation chirurgicale de la v\u00e9sicule biliaire, appel\u00e9e chol\u00e9cystectomie, est la m\u00e9thode de traitement principale.<\/p>\n<p>Lorsque le r\u00e9sultat de la th\u00e9rapie conservatrice est positif et que la chol\u00e9cystite aigu\u00eb ne pr\u00e9sente pas de complications, une chol\u00e9cystectomie programm\u00e9e est r\u00e9alis\u00e9e. En l\u2019absence de r\u00e9sultat positif du traitement conservateur et si la maladie \u00e9volue, une chol\u00e9cystectomie d\u2019urgence est indiqu\u00e9e. Il est pr\u00e9f\u00e9rable de r\u00e9aliser l\u2019intervention chirurgicale entre 24 et 72 heures apr\u00e8s le d\u00e9but de la maladie.<\/p>\n<p>Il existe deux techniques principales de la chirurgie\u00a0:<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>Chol\u00e9cystectomie laparoscopique\u00a0: <\/strong> ablation de la v\u00e9sicule biliaire par de petites incisions dans la paroi abdominale (cette technique est \u00ab l\u2019\u00e9talon or \u00bb).<\/li>\n<li><strong>Chol\u00e9cystectomie ouverte\u00a0:<\/strong> ablation de la v\u00e9sicule biliaire par incision classique au niveau de l\u2019hypochondre droit.<\/li>\n<\/ul>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. Qu\u2019est-ce que la chol\u00e9cystite lithiasique et la chol\u00e9cystite non lithiasique, et quelles en sont les causes ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La chol\u00e9cystite est une inflammation de la v\u00e9sicule biliaire. La chol\u00e9cystite lithiasique est la forme la plus fr\u00e9quente. Elle se d\u00e9veloppe en raison de la formation de calculs dans la v\u00e9sicule biliaire, ce qui provoque l\u2019obstruction du canal biliaire par un calcul dans le cas de la chol\u00e9cystite aigu\u00eb, ou sans obstruction dans le cas de la chol\u00e9cystite chronique. La chol\u00e9cystite non lithiasique, ou non calculeuse, est moins fr\u00e9quente. Elle survient en l\u2019absence de calculs, en raison d\u2019un trouble de la motricit\u00e9 de la v\u00e9sicule biliaire, secondaire \u00e0 une infection grave ou \u00e0 un trouble circulatoire.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. Quels sont les sympt\u00f4mes de la chol\u00e9cystite et comment se manifeste-t-elle lors d\u2019une exacerbation ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Les principaux sympt\u00f4mes sont une crise de forte douleur dans l\u2019hypochondre droit (colique biliaire), des naus\u00e9es, des vomissements et de la fi\u00e8vre. L\u2019exacerbation de la chol\u00e9cystite chronique se manifeste par les m\u00eames signes qu\u2019une crise aigu\u00eb, mais de moindre intensit\u00e9. On peut \u00e9galement observer un go\u00fbt amer dans la bouche, ainsi qu\u2019un brunissement des urines et une jaunisse de la peau en cas de trouble du retour de la bile.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3. Quelles sont les complications et les risques de la chol\u00e9cystite\u00a0?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Le risque principal de la maladie est le d\u00e9veloppement de complications graves. L\u2019inflammation peut entra\u00eener des formes destructrices, telles que la chol\u00e9cystite phlegmoneuse ou gangr\u00e9neuse, une perforation de la paroi de la v\u00e9sicule biliaire pouvant provoquer une p\u00e9ritonite, voire une d\u00e9faillance multivisc\u00e9rale, ce qui constitue un risque vital.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. Quel est le traitement de la chol\u00e9cystite et peut-on la gu\u00e9rir d\u00e9finitivement ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Selon les approches cliniques modernes, on commence par un traitement conservateur pour soulager une crise aigu\u00eb : administration d\u2019antispasmodiques, d\u2019analg\u00e9siques et d\u2019antibiotiques. Le seul moyen de traiter d\u00e9finitivement la chol\u00e9cystite calculeuse est d\u2019enlever la v\u00e9sicule biliaire par chirurgie (chol\u00e9cystectomie), afin d\u2019\u00e9viter les crises et les complications r\u00e9currentes.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">5. Quelles sont les m\u00e9thodes de diagnostic de laboratoire et instrumental utilis\u00e9es pour diagnostiquer la chol\u00e9cystite ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Le diagnostic comprend des analyses sanguines de laboratoire et des examens instrumentaux. L\u2019\u00e9chographie abdominale est consid\u00e9r\u00e9e comme la r\u00e9f\u00e9rence en mati\u00e8re de diagnostic, permettant de d\u00e9tecter un \u00e9paississement de la paroi de la v\u00e9sicule biliaire, la pr\u00e9sence de calculs biliaires et d\u2019autres signes caract\u00e9ristiques. Dans les cas complexes, une TDM est r\u00e9alis\u00e9e.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">6. Une crise de chol\u00e9cystite peut-elle dispara\u00eetre spontan\u00e9ment ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Une crise de douleur (colique biliaire) peut en effet s\u2019att\u00e9nuer temporairement, mais cela ne signifie pas pour autant que la maladie est gu\u00e9rie. Le processus inflammatoire dans la v\u00e9sicule biliaire persiste et, sans traitement, la maladie \u00e9voluera, augmentant ainsi le risque de complications.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">7. Quel r\u00e9gime est prescrit pour la chol\u00e9cystite aigu\u00eb et chronique ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Le r\u00e9gime alimentaire est un \u00e9l\u00e9ment cl\u00e9 du traitement. En cas d\u2019exacerbation de la chol\u00e9cystite, un je\u00fbne est indiqu\u00e9, puis un r\u00e9gime alimentaire strict (r\u00e9gime n\u00b0 5 ou r\u00e9gime Pevzner), excluant les aliments gras, frits, \u00e9pic\u00e9s et l\u2019alcool. Pour la chol\u00e9cystite chronique, ces restrictions sont \u00e9galement recommand\u00e9es, mais elles sont moins strictes. Il est recommand\u00e9 de manger de mani\u00e8re fractionn\u00e9e, 5 \u00e0 6 fois par jour.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">8. Quelle est la diff\u00e9rence entre la chol\u00e9cystite et la cholestase ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Ce sont des \u00e9tats diff\u00e9rents. La chol\u00e9cystite est une inflammation de la paroi de la v\u00e9sicule biliaire. La cholestase se caract\u00e9rise par une stagnation de la bile, c\u2019est-\u00e0-dire un trouble du retour de la bile du foie. La stagnation de la bile, ou cholestase, peut \u00eatre l\u2019une des causes de l\u2019inflammation de la v\u00e9sicule biliaire (chol\u00e9cystite), mais ce n\u2019est pas la m\u00eame chose.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">9. Existe-t-il une pr\u00e9vention de la chol\u00e9cystite ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Oui, la pr\u00e9vention vise \u00e0 pr\u00e9venir la formation de calculs biliaires. Elle comprend une alimentation \u00e9quilibr\u00e9e (moins de graisses, plus de fibres), le maintien d\u2019un poids sant\u00e9, une activit\u00e9 physique r\u00e9guli\u00e8re et une consommation d\u2019eau suffisante.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">10. Quelles sont les caract\u00e9ristiques de la chol\u00e9cystite chez les enfants ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La chol\u00e9cystite chez les enfants est rare et est le plus souvent non lithiasique. Elle peut survenir comme une complication d\u2019infections graves (scarlatine ou septic\u00e9mie) ou de maladies syst\u00e9miques. Les sympt\u00f4mes sont similaires \u00e0 ceux observ\u00e9s chez les adultes et le traitement repose sur une antibioth\u00e9rapie, ainsi que sur une intervention chirurgicale si n\u00e9cessaire.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"references\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">R\u00e9f\u00e9rences<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Catalogue VOKA. [Ressource \u00e9lectronique]<\/p>\n<p><span class=\"small-text-medium text-grey\">https:\/\/catalog.voka.io\/<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">\u0414\u0430\u0434\u0432\u0430\u043d\u0438 \u0421.\u0410., \u0412\u0435\u0442\u0448\u0435\u0432 \u041f.\u0421., \u0428\u0443\u043b\u0443\u0442\u043a\u043e A.M., \u041f\u0440\u0443\u0434\u043a\u043e\u0432 \u041c.\u0418. \u0416\u0435\u043b\u0447\u043d\u043e\u043a\u0430\u043c\u0435\u043d\u043d\u0430\u044f \u0431\u043e\u043b\u0435\u0437\u043d\u044c. \u041c.: \u0412\u0438\u0434\u0430\u0440, 2000. 144 \u0441.<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">\u0414\u043e\u0440\u043e\u0444\u0435\u0435\u0432\u0430, \u0421.\u0413., \u041a\u043e\u043d\u043e\u043f\u043b\u044f, \u0415.\u041d., \u041c\u0430\u043d\u0441\u0438\u043c\u043e\u0432\u0430, \u041e.\u0412., \u0428\u0435\u043b\u0443\u0445\u0438\u043d\u0430, \u0410.\u041d., \u0410\u043d\u044e\u0448\u043e\u043d\u043a\u043e\u0432, \u041e.\u0421. \u0416\u0435\u043b\u0447\u043d\u043e\u043a\u0430\u043c\u0435\u043d\u043d\u0430\u044f \u0431\u043e\u043b\u0435\u0437\u043d\u044c: \u0441\u043e\u0432\u0440\u0435\u043c\u0435\u043d\u043d\u044b\u0435 \u043f\u0440\u0435\u0434\u0441\u0442\u0430\u0432\u043b\u0435\u043d\u0438\u044f \u043e\u0431 \u044d\u0442\u0438\u043e\u043b\u043e\u0433\u0438\u0438 \u0438 \u043f\u0430\u0442\u043e\u0433\u0435\u043d\u0435\u0437\u0435. \u0418\u043d\u0442\u0435\u0433\u0440\u0430\u0442\u0438\u0432\u043d\u044b\u0435 \u0442\u0435\u043d\u0434\u0435\u043d\u0446\u0438\u0438 \u0432 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0435 \u0438 \u043e\u0431\u0440\u0430\u0437\u043e\u0432\u0430\u043d\u0438\u0438. 2020. \u0422. 2. 21-25. (\u041f\u043e\u0434\u043e\u043b\u0443\u0436\u043d\u044b\u0439 \u0412.\u0418. \u041e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u044f \u0436\u0435\u043b\u0447\u043d\u043e\u043a\u0430\u043c\u0435\u043d\u043d\u043e\u0439 \u0431\u043e\u043b\u0435\u0437\u043d\u0438. \u0424\u0443\u043d\u0434\u0430\u043c\u0435\u043d\u0442\u0430\u043b\u044c\u043d\u0430\u044f \u0438 \u043a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u0430\u044f \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0430. 2017;2(1):102-114) [en russe]<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">\u0418\u0432\u0430\u0448\u043a\u0438\u043d \u0412.\u0422., \u041c\u0430\u0435\u0432 \u0418.\u0412., \u0411\u0430\u0440\u0430\u043d\u0441\u043a\u0430\u044f \u0415.\u041a. \u0420\u0435\u043a\u043e\u043c\u0435\u043d\u0434\u0430\u0446\u0438\u0438 \u0420\u043e\u0441\u0441\u0438\u0439\u0441\u043a\u043e\u0439 \u0433\u0430\u0441\u0442\u0440\u043e\u044d\u043d\u0442\u0435\u0440\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0430\u0441\u0441\u043e\u0446\u0438\u0430\u0446\u0438\u0438 \u043f\u043e \u0434\u0438\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0435 \u0438 \u043b\u0435\u0447\u0435\u043d\u0438\u044e \u0436\u0435\u043b\u0447\u043d\u043e\u043a\u0430\u043c\u0435\u043d\u043d\u043e\u0439 \u0431\u043e\u043b\u0435\u0437\u043d\u0438. \u0420\u0416\u0413\u0413\u041a, 2016. 3 : 64-80.(\u0421\u0430\u0432\u0435\u043b\u044c\u0435\u0432 B.C., \u041a\u0438\u0440\u0438\u0435\u043d\u043a\u043e \u0410.\u0418. \u0425\u0438\u0440\u0443\u0440\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0431\u043e\u043b\u0435\u0437\u043d\u0438. \u0422\u043e\u043c 1. \u041c.: 2005. \u0421. 185-201.) [en russe].<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">5.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Directives pratiques cliniques de l\u2019EASL sur la pr\u00e9vention, le diagnostic et le traitement des calculs biliaires. J\u043eurnal of Hepatology. 2016. 65 : 146\u2013181.<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">6.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">\u041b\u0435\u0439\u0448\u043d\u0435\u0440 \u0423. \u041f\u0440\u0430\u043a\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u0440\u0443\u043a\u043e\u0432\u043e\u0434\u0441\u0442\u0432\u043e \u043f\u043e \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u044f\u043c \u0436\u0435\u043b\u0447\u043d\u044b\u0445 \u043f\u0443\u0442\u0435\u0439. Moscou : GEOTAR \u2013 M\u00e9decine ; 2001, 264 p. (\u041b\u0435\u0439\u0448\u043d\u0435\u0440 \u0423. \u041f\u0440\u0430\u043a\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u0440\u0443\u043a\u043e\u0432\u043e\u0434\u0441\u0442\u0432\u043e \u043f\u043e \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u044f\u043c \u0436\u0435\u043b\u0447\u043d\u044b\u0445 \u043f\u0443\u0442\u0435\u0439. \u041c.: \u0413\u042d\u041e\u0422\u0410\u0420 \u2013 \u041c\u0435\u0434\u0438\u0446\u0438\u043d\u0430, 2001. 264\u0441.) \u041b\u0435\u0439\u0448\u043d\u0435\u0440 \u0423. \u041f\u0440\u0430\u043a\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u0440\u0443\u043a\u043e\u0432\u043e\u0434\u0441\u0442\u0432\u043e \u043f\u043e \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u044f\u043c \u0436\u0435\u043b\u0447\u043d\u044b\u0445 \u043f\u0443\u0442\u0435\u0439. \u041c.: \u0413\u042d\u041e\u0422\u0410\u0420 \u2013 \u041c\u0435\u0434\u0438\u0446\u0438\u043d\u0430, 2001. 264 \u0441. [ Leishner U. Prakticheskoye rukovodstvo po zabolevaniyam zhelchnykh putey (Guide pratique des maladies des voies biliaires). \u041c.: GEOTAR \u2013 Medicina, 2001. 264 p.].<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">7.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">\u041b\u0438\u0442\u043e\u0432\u0441\u043a\u0438\u0439 \u0418.\u0410., \u0413\u043e\u0440\u0434\u0438\u0435\u043d\u043a\u043e \u0410.\u0412. \u0416\u0435\u043b\u0447\u043d\u043e\u043a\u0430\u043c\u0435\u043d\u043d\u0430\u044f \u0431\u043e\u043b\u0435\u0437\u043d\u044c, \u0445\u043e\u043b\u0435\u0446\u0438\u0441\u0442\u0438\u0442\u044b \u0438 \u043d\u0435\u043a\u043e\u0442\u043e\u0440\u044b\u0435 \u0430\u0441\u0441\u043e\u0446\u0438\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u044b\u0435 \u0441 \u043d\u0438\u043c\u0438 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u044f (\u0432\u043e\u043f\u0440\u043e\u0441\u044b \u043f\u0430\u0442\u043e\u0433\u0435\u043d\u0435\u0437\u0430, \u0434\u0438\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0438, \u043b\u0435\u0447\u0435\u043d\u0438\u044f). \u0421\u0430\u043d\u043a\u0442-\u041f\u0435\u0442\u0435\u0440\u0431\u0443\u0440\u0433 : \u0421\u043f\u0435\u0446\u041b\u0438\u0442, 2019. 358 \u0441.<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">8.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Podoluzhnyi V.I. Complications des calculs biliaires. M\u00e9decine fondamentale et clinique. 2017 ; Vol.  2(1). 102-114. (\u041f\u043e\u0434\u043e\u043b\u0443\u0436\u043d\u044b\u0439 \u0412.\u0418. \u041e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u044f \u0436\u0435\u043b\u0447\u043d\u043e\u043a\u0430\u043c\u0435\u043d\u043d\u043e\u0439 \u0431\u043e\u043b\u0435\u0437\u043d\u0438. \u0424\u0443\u043d\u0434\u0430\u043c\u0435\u043d\u0442\u0430\u043b\u044c\u043d\u0430\u044f \u0438 \u043a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u0430\u044f \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0430. 2017;2(1):102-114) [en russe]<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">9.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Savelyev, V. S., Kirienko, A. I. Maladies chirurgicales Moscou : 2005. \u0422. 1. 185-201.(\u0421\u0430\u0432\u0435\u043b\u044c\u0435\u0432 B.C., \u041a\u0438\u0440\u0438\u0435\u043d\u043a\u043e \u0410.\u0418. \u0425\u0438\u0440\u0443\u0440\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0431\u043e\u043b\u0435\u0437\u043d\u0438. \u0422\u043e\u043c 1. \u041c.: 2005. \u0421. 185-201.) [en russe].<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">10.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">\u0421\u043a\u0432\u043e\u0440\u0446\u043e\u0432, \u0412.\u0412., \u0425\u0430\u043b\u0438\u043b\u043e\u0432\u0430, \u0423.\u0410. \u0414\u0438\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0430 \u0438 \u043b\u0435\u0447\u0435\u043d\u0438\u0435 \u0436\u0435\u043b\u0447\u043d\u043e\u043a\u0430\u043c\u0435\u043d\u043d\u043e\u0439 \u0431\u043e\u043b\u0435\u0437\u043d\u0438. \u042d\u043a\u0441\u043f\u0435\u0440\u0438\u043c\u0435\u043d\u0442\u0430\u043b\u044c\u043d\u0430\u044f \u0438 \u043a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u0430\u044f \u0433\u0430\u0441\u0442\u0440\u043e\u044d\u043d\u0442\u0435\u0440\u043e\u043b\u043e\u0433\u0438\u044f, 2018. \u0422\u043e\u043c 157. \u2116 9. 142-150. (\u041f\u043e\u0434\u043e\u043b\u0443\u0436\u043d\u044b\u0439 \u0412.\u0418. \u041e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u044f \u0436\u0435\u043b\u0447\u043d\u043e\u043a\u0430\u043c\u0435\u043d\u043d\u043e\u0439 \u0431\u043e\u043b\u0435\u0437\u043d\u0438. \u0424\u0443\u043d\u0434\u0430\u043c\u0435\u043d\u0442\u0430\u043b\u044c\u043d\u0430\u044f \u0438 \u043a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u0430\u044f \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0430. 2017;2(1):102-114) [en russe]<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">11.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">  \u0423\u0441\u043f\u0435\u043d\u0441\u043a\u0438\u0439, \u042e.\u041f., \u0424\u043e\u043c\u0438\u043d\u044b\u0445, \u042e.\u0410., \u041d\u0430\u0434\u0436\u0430\u0444\u043e\u0432\u0430, \u041a.\u041d. \u041b\u0438\u043f\u0438\u0434\u043d\u044b\u0439 \u043e\u0431\u043c\u0435\u043d \u0443 \u043b\u0438\u0446 \u0441 \u0436\u0435\u043b\u0447\u043d\u043e\u043a\u0430\u043c\u0435\u043d\u043d\u043e\u0439 \u0431\u043e\u043b\u0435\u0437\u043d\u044c\u044e. University Therapeutic Journal, 2020. \u0422\u043e\u043c 2. \u2116 1. 74-75. (\u041f\u043e\u0434\u043e\u043b\u0443\u0436\u043d\u044b\u0439 \u0412.\u0418. \u041e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u044f \u0436\u0435\u043b\u0447\u043d\u043e\u043a\u0430\u043c\u0435\u043d\u043d\u043e\u0439 \u0431\u043e\u043b\u0435\u0437\u043d\u0438. \u0424\u0443\u043d\u0434\u0430\u043c\u0435\u043d\u0442\u0430\u043b\u044c\u043d\u0430\u044f \u0438 \u043a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u0430\u044f \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0430. 2017;2(1):102-114) [en russe]<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">12.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Khimich, S.D. Analyse des caract\u00e9ristiques morphofonctionnelles du d\u00e9veloppement et de l\u2019\u00e9volution de certaines maladies chirurgicales aigu\u00ebs des organes abdominaux chez les patients atteint d\u2019ob\u00e9sit\u00e9\u00a0: r\u00e9sum\u00e9 de th\u00e8se pour l\u2019obtention du titre de docteur en sciences m\u00e9dicales. [en Russe] \u041c.: 2002. 38 \u0441. [Khimich S.D. Analiz morfo-funktsional\u2019nykh osobennostey razvitiya i tetcheniya nekotorykh ostrykh khirurgitcheskikh zabolevaniy organov bryushnoy polosti u lits s ozhireniyem: avtoreferat dissertatsii na soiskaniye utchenoy stepeni dokt. med. nauk. (Analyse des caract\u00e9ristiques morphologiques et fonctionnelles du d\u00e9veloppement et de l\u2019\u00e9volution de certaines maladies chirurgicales aigu\u00ebs des organes de la cavit\u00e9 abdominale chez les personnes ob\u00e8ses : r\u00e9sum\u00e9 de Th\u00e8se pour l\u2019obtention du titre de Docteur en M\u00e9decine). M. : 2002. 38 p.].<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">13.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Barak O., Elazary R., Appelbaum L., Rivkind A., Almogy G. Conservative treatment for acute cholecystitis: clinical and radiographic predictors of failure. Isr Med Assoc J, 2009.<br \/>\n 11. \u0421. 739\u2013743. [Barak O., Elazary R., Appelbaum L., Rivkind A., Almogy G. Conservative treatment for acute cholecystitis: clinical and radiographic predictors of failure (Traitement conservateur de la chol\u00e9cystite aigu\u00eb : facteurs pr\u00e9dictifs cliniques et radiographiques d\u2019\u00e9chec), Isr Med Assoc J, 2009. 11. \u0421. 739\u2013743].<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">14.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Chen L.Y., Qiao Q.H., Zhang S.C., Chen Y.H., Chao G.Q., Fang L.Z. Syndrome m\u00e9tabolique et calculs biliaires. World J Gastroenterol, 2012. 18. \u0421. 4215\u20134220. [Wang Y., Qi M., Qin C., Hong J. Role of the biliary microbiome in gallstone disease (R\u00f4le du microbiome biliaire dans la maladie des calculs biliaires). Expert Review of Gastroenterology & Hepatology, 2018. 12(12). \u0421. 1193\u20131205].\n<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">15.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Cotton P.B., Elta G.H., Carter C.R., Pasricha P.J., Corazziari E.S. Rome IV. Troubles de la v\u00e9sicule biliaire et du sphincter d\u2019Oddi. Gastroenterology, 2016. pii: S0016-5085(16)00224-9.<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">16.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">McGlone E.R., Bloom S.R. Bile acids and the metabolic syndrome. Annals of Clinical Biochemistry, 2019. 56(3). \u0421. 326\u2013337. [McGlone E.R., Bloom S.R. Bile acids and the metabolic syndrome (Les acides biliaires et le syndrome m\u00e9tabolique). Annals of Clinical Biochemistry, 2019. 56(3). p. 326\u2013337].<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">17.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Wang Y., Qi M., Qin C., Hong J. Role of the biliary microbiome in gallstone disease. Expert Review of Gastroenterology & Hepatology, 2018. 12(12). \u0421. 1193\u20131205. [Wang Y., Qi M., Qin C., Hong J. Role of the biliary microbiome in gallstone disease (R\u00f4le du microbiome biliaire dans la maladie des calculs biliaires). Expert Review of Gastroenterology & Hepatology, 2018. 12(12). \u0421. 1193\u20131205].\n<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>La chol\u00e9cystite est une maladie caract\u00e9ris\u00e9e par une inflammation de la v\u00e9sicule biliaire r\u00e9sultant de son obstruction (chol\u00e9cystite lithiasique) et de trouble du retour de la bile ou d&rsquo;autres causes (chol\u00e9cystite non lithiasique). Classification des chol\u00e9cystites Selon l&rsquo;\u00e9volution de la maladie Selon l&rsquo;\u00e9tiologie Selon la forme clinique et morphologique Mod\u00e8les 3D des chol\u00e9cystites selon la [&hellip;]<\/p>\n","protected":false},"author":13,"featured_media":0,"template":"","diseases_category":[254],"class_list":["post-1556","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-hepatiques"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v26.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Chol\u00e9cystite : formes, causes, sympt\u00f4mes, diagnostic et traitement<\/title>\n<meta name=\"description\" content=\"Chol\u00e9cystite\u00a0: \u00e9tiologie, classification, clinique et diagnostic. 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