You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is A case of acute cholecystitis now presents with acute pain sharp going to the back diagnosis and explain in detail?
Ans. (a) Acute pancreatitisRef: Sabiston 20th edition Page 1496 Gall stone pancreatitis:* As GB stone passes the common channel it irritates the Pancreatic system and causes pancreatitis.* Patient's will have continued back pain even after stone passes.* Most cases of gall stone pancreatitis settles by conservative management.* If symptoms do not resolve we do ERCP and Sphincterotomy.* Dilated CBD and CBD stone gives suspicion of Gallstone pancreatitis.* Patient should be operated in same admission before discharge- Laparoscopic cholecystectomy* During surgery Intra op Cholangiogram is done to rule out CBD stones.