Gallbladder Stones (Cholelithiasis) Explained: Hidden Risks, Urgent Warning Signs & Life-Saving Surgery

What Are Gallbladder Stones?

Sudden pain in the upper right side of the abdomen

Pain spreading to the back or right shoulder

Nausea or vomiting

Fever (in complicated cases)

Yellowing of eyes or skin (jaundice)

Gallbladder anatomy diagram showing the liver, bile ducts, and gallbladder with gallstones inside the gallbladder.

Common Symptoms of Gallbladder Stones

  • Sudden pain in the upper right side of the abdomen

  • Pain spreading to the back or right shoulder

  • Nausea or vomiting

  • Fever (in complicated cases)

  • Yellowing of eyes or skin (jaundice)

Illustration showing a person experiencing pain in the upper right abdomen, highlighting the liver and gallbladder area

Complications of Gallbladder Stones

If gallstones are not treated on time, they may cause the following problems:

 

1 Acute Cholecystitis (Gallbladder Infection)

This occurs when a stone blocks bile flow, causing infection and swelling of the gallbladder.

Symptoms:

  • Severe and continuous abdominal pain

  • Fever and tenderness

Why it matters: Untreated infection may lead to gallbladder rupture.

Comparison illustration showing a normal gallbladder and an inflamed gallbladder affected by cholecystitis

2 Choledocholithiasis (Stone in the Bile Duct)

Sometimes gallstones move into the bile duct and block it.

Symptoms:

  • Jaundice (yellow eyes and skin)

  • Dark urine and pale stools

  • Fever and chills

Risk: Can lead to serious infection and liver problems.

Gallstone blocking the common bile duct illustration used by a gall bladder stone treatment clinic in Paschim Vihar, West Delhi, showing bile duct obstruction and digestive organs.

3 Gallstone Pancreatitis

A gallstone can block the pancreatic duct, causing inflammation of the pancreas.

Symptoms:

  • Sudden severe abdominal pain

  • Vomiting

  • Hospital admission required

4 Severe Infection or Gangrene of the Gallbladder

Long-standing infection can cause tissue damage or pus formation.

Why it matters: This is a medical emergency and increases surgical risk.

Medical illustration showing severe gallbladder infection with empyema and gangrene caused by untreated gallstones

Why Gallbladder Surgery Can Be Difficult

Gallbladder removal surgeryis usually safe, but complications can make it challenging.

Common Reasons for Difficult Surgery

  • Repeated gallbladder infection attacks causing scarring

  • Thickened or shrunken gallbladder

  • Swelling hiding important bile ducts

  • Severe infection requiring emergency surgery

Side-by-side comparison of gall bladder stone surgery showing laparoscopic cholecystectomy with small keyhole incisions versus open gall bladder surgery with a large abdominal incision.

Who Is at Higher Risk?

  • Patients with long-term gallstones

  • Elderly patients

  • People with diabetes

  • Obese individuals

  • Patients delaying surgery after repeated pain

How to Prevent Complications

  • Early ultrasound diagnosis

  • Do not ignore repeated abdominal pain

  • Plan surgery before complications occur

  • Follow doctor’s advice and follow-up

Ultrasound scan image showing gallstones inside the gallbladder used for diagnosis of gallstone disease

Key Message for Patients

Gallbladder stones may seem harmless, but delaying treatment can cause serious complications and difficult surgery. Early consultation and timely treatment lead to safer outcomes and faster recovery.

Doctor’s Note

Early elective gallbladder removal significantly reduces operative difficulty and complication rates. Patient education plays a key role in improving outcomes.

Call to Action

If you have recurrent abdominal pain or have been diagnosed with gallstones, consult a qualified surgeon early for safe and effective treatment.

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