Gallstone-related condition (Cholecystolithiasis, Choledocholithiasis)
The most common gallbladder complaint is the development of gallstones and its related complications. 15-20% of the adult population in Germany have gallstones, whereby 60-80% have no discernable symptoms. Gallstones are deposits in the gallbladder comprised of substances from the hepatic bile (e.g. bilirubin or cholesterol). These deposits develop when the composition of the bile fluid changes or if the gallbladder is functioning incorrectly (reduced mobility, incomplete emptying). Gallstones often cause right upper abdominal pain (colic). Abdominal pain which radiates into the back is also common. Discoloration of the stool and very dark urine can also be signs of gallstones in the main bile duct. Gallstones in the bile duct is a complication of gallstone-related conditions.
Acute and chronic appendicitis
The appendix vermiform (commonly known as the appendix) is an organ of the intestinal tract which is involved in the immune defenses in the intestine. This is why it is also known as the abdominal tonsil. Like the tonsils in the throat, the appendix can often become inflamed. However, an inflammation does not always mean that surgery is necessary, but regular, less severe inflammation can eventually lead to chronic appendicitis. Recurring pain in the right lower abdomen can be a symptom of chronic inflammation of the appendix. Nowadays, laparoscopic removal of the appendix is the most common form of surgical treatment for this condition.
Other available treatments