Md. Jasim Uddin1, Meer Mahbubul Alam2, Jain Fatema3, Guljar Ahmed4, Mamun Ibn Munim5, Ahmad Maksud Hasan Laskar6
1. Assistant Professor, Department of Surgery, North East Medical College Hospital, Sylhet.
2. Professor, Department of Surgery, North East Medical College Hospital, Sylhet.
3. Clinical Pathologist, Sylhet M.A.G. Osmani Medical College Hospital, Sylhet.
4. Associate Professor, Department of Surgery, North East Medical College Hospital, Sylhet.
5. Assistant Professor, Department of Surgery, North East Medical College Hospital, Sylhet.
6. Associate Professor, Department of Surgery, Park View Medical College Hospital, Sylhet.
Abstract
The association of biliary infection and gall stone disease is not clearly defined. Our study was designed to see the association of biliary infection, cholecystitis and stone disease. Material and method: In this prospective cross sectional study consecutive patients undergoing cholecystectomy having sonographic evidence of cholecystitis were enrolled. Bile sample was collected from Gall balder during operation. Histopathological examinations done using H-E stain Result: Ultrasound diagnosis was chronic cholecystitis with cholelithiasis in 93.0% of patients, chronic cholecystitis with choledocholithiasis in 7.0% of patients and gall bladder mass in 2.0% of patients with biliary stone diseases. Histopathological diagnosis was chronic cholecystitis in 93.0% of the patients, acute cholecystitis in 4.0% and adenocarcinoma of the gall bladder in 3.0% of the patients with biliary stone diseases. Bile culture showed growth of organism in 35.0% of the patients and 65.0% of the patients showed no growth of organism. The most common type of growth organism in the bile was Escherichia coli (85.7%) and rest was Klebseilla (14.3%).
Key Words: Bacteriology, Histopathology, Cholecystitis.