Inflamed Gallbladder: Is it Urgent to Operate?
Introduction
Inflammation of the gallbladder, known as cholecystitis, is a potentially serious condition that may require urgent treatment. In most cases, it is associated with the presence of stones that block the outlet of the gallbladder.
Recognizing the signs and knowing when it is necessary to operate can prevent major complications.
|
Dr. Luís Couceiro - Clínica da Vesícula · | Apr 12, 2026 · 2 min read |
|
Dr. Luís Couceiro - Clínica da Vesícula |
| Apr 12, 2026 · 2 min read |
One of the most frequent questions is: is it an urgent situation that needs immediate surgery?
What is the inflamed gallbladder?
Acute cholecystitis happens when the gallbladder becomes obstructed, leading to:
Inflammation
Infection
Increased pressure inside the gallbladder
Without treatment, it can progress to serious complications.
⚠️ Most common symptoms
The typical signsinclude:
Severe pain on the right side of the abdomen
Continuous pain (does not improve as in biliary colic)
Fever
Nausea and vomiting
🗓️ The pain can last for several hours or days.
❓ When is it urgent?
The situation should be considered urgent when there are:
Persistent severe pain
Associated fever
Signs of infection
Changes in analyses (elevated inflammation)
🏥 In these cases, the hospital evaluation isnecessary.
⚙️ Is it always necessary to operate?
In most cases of acute cholecystitis:
👍 Yes, surgery is recommended
The standard treatment is removal of the gallbladder (cholecystectomy), usually by laparoscopy.
-️ When should the surgery be done?
Ideally:
During hospitalization
or
In the first week after stabilization
Operating early reduces complications and recurrence.
⚠️ What happens if we don't operate?
Postponing surgery can lead to:
Repetition of episodes
Abscesses
Perforation of the gallbladder
Serious infections
💉 How is the surgery done?
Laparoscopic cholecystectomy allows:
Small incisions
Less pain
Faster recovery
In most cases:
high in 24–48h
Recovery
Light activities: a few days
Job: 1–2 weeks
Recoverytotal: 3–4 weeks
✅ Conclusion
Inflamed gallbladder is often an urgent situation that must be assessed quickly.
🛡️ In most cases, surgery is the safest and most effective treatment to prevent serious complications.
🩺 Next steps
Make an appointment for expert assessment and personalized guidance.
