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style="padding-bottom:0rem" class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 iwBqiC"><div class="zzfu6a-2 cCNxFm"><h1 class="sc-1qyt53r-0 bFYYjn">Cholécystite (Inflammation de la vésicule biliaire)</h1></div><hr class="zzfu6a-3 dcPMS"/></div></div><div class="zzfu6a-1 ljAQVO"><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 iwBqiC"><hr class="d5c7y9-0 jAAhhm"/><div class="ymkqeb-7 chgjLF"><div class="ymkqeb-0 crzlJO"><span class="ymkqeb-1 cNfDjt">Maladies & symptômes</span></div><div class="ymkqeb-0 crzlJO"></div><p class="ymkqeb-3 iFitJF">Auteur: Mediscope</p><div class="ymkqeb-5 ejfzsL"><a class="ymkqeb-6 eSleFW" href="mailto:?subject=Cholécystite (Inflammation de la vésicule biliaire)&body=https://tcs-mymed.ch/fr/maladies_et_symptomes/diseases/114" target="_blank"><span class="sc-138090s-0 liCewX"><svg xmlns="http://www.w3.org/2000/svg" width="38" height="26" viewBox="0 0 38 26"><g fill="none" fill-rule="evenodd" stroke="currentColor" 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5.26-2.766 2.032-6.25 3.242-10.035 3.242A17.52 17.52 0 0 1 0 26.598C3.576 28.746 7.821 30 12.385 30"></path></g></svg></span></a></div></div><hr class="d5c7y9-0 jAAhhm"/></div></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Définition</h3><p>La cholécystite est caractérisée par une inflammation de la paroi de la vésicule biliaire, souvent secondaire à des calculs biliaires. Des crises de coliques vésiculaires aiguës et répétées peuvent évoluer vers la chronicité. </p> <p>La cholécystite touche plus souvent les femmes que les hommes. Il est possible de prévenir les inflammations de la vésicule biliaire par une alimentation saine et équilibrée.</p></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Causes</h3><p>Des crises de coliques précèdent souvent la survenue d`une cholécystite, souvent provoquée par des calculs biliaires.</p> <h3>Autres causes:</h3> <ul> <li>Inflammation d`autres organes (ex. intestin, rein) </li> <li>Après certains traumatismes (coups, accidents) </li> <li>Anomalie congénitale de la vésicule biliaire </li> <li>Polypes </li> <li>Tumeurs </li> <li>Infections </li> <li>Après des interventions chirurgicales abdominales </li> </ul> <h3>Facteurs de risque:</h3> <ul> <li>Surcharge pondérale </li> <li>Alimentation riche en graisses, mais des régimes pauvres en graisses peuvent également favoriser la survenue de cholécystite </li> <li>Alimentation pauvre en fibres, régimes basés sur le jeûne </li> <li>Manque d`exercices physiques </li> </ul> <h3>Facteurs déclenchants d`une crise de cholécystite:</h3> <ul> <li>Repas lourds, riches en graisses </li> <li>Stress </li> </ul></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Troubles (symptômes)</h3><ul> <li>Crise douloureuse aiguë (colique), principalement dans la partie supérieure de l`abdomen et à droite; les douleurs peuvent également être rétrosternales et irradier jusqu`aux épaules </li> <li>Fièvre, frissons </li> <li>Nausée, vomissements </li> <li>Selles colorées en jaune </li> <li>Jaunisse légère </li> </ul> <p>En cas de cholécystite chronique, les douleurs sont plus sourdes et moins intenses.</p></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Examens (diagnostic)</h3><ul> <li>Anamnèse médicale avec prise en compte des symptômes du patient; les douleurs sous forme de coliques et la sensibilité à la palpation de la partie supérieure de l`abdomen orientent le diagnostic du médecin vers une cholécystite. </li> <li>Examens biologiques de laboratoire: ces examens permettent d`exclure d`autres maladies avec une symptomatologie similaire, telles que infarctus du myocarde, pancréatite aiguë, ulcères gastro-intestinaux, pneumonie, appendicite. </li> <li>Ultrasons: l`examen permet de visualiser les calculs biliaires. </li> <li>Tomodensitométrie </li> <li>Eventuellement laparoscopie avec ablation de la vésicule biliaire </li> </ul></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Options thérapeutiques</h3><p>Une cholécystite aiguë doit être traitée en milieu hospitalier afin d`éviter la survenue de complications aiguës.</p> <p>Le traitement dépend des causes et de la sévérité de l`inflammation.</p> <ul> <li>Médicaments antispasmodiques </li> <li>Extirpation des calculs : dissolution des calculs grâce à certains médicaments ; destruction des calculs par des ondes de choc (calculs biliaires) </li> <li>Laparoscopie avec ablation de la vésicule biliaire (seulement en dehors de toute crise douloureuse; traitement de premier choix) </li> <li>Laparotomie avec ablation de la vésicule biliaire en cas d`inflammation importante ou en présence de complications </li> <li>Traitement de l`infection concomitante par des antibiotiques </li> </ul> <h3>Mesures générales</h3> <ul> <li>Eviter la surcharge pondérale ainsi que les régimes basés sur le jeûne </li> <li>Alimentation saine et équilibrée riche en fruits et légumes et pauvres en viandes et en graisses; éventuellement recours à des huiles d`origine végétale </li> <li>Activité physique régulière </li> </ul></div></div></div><div class="kw3gvu-1 cqHIiz"><div class="riphwg-1 kw3gvu-2 fycNAX"><div width="12" offset="0" class="riphwg-2 iwBqiC"><div class="kw3gvu-0 eUIIhe"><h1 class="kw3gvu-3 dxKopd">Egalement susceptible de vous intéresser</h1></div></div></div></div><div class="ulmjm-1 fbgsh"><div class="riphwg-1 ulmjm-0 hHrAfN"><div width="12,12,12,6,4" offset="0" class="riphwg-2 sc-19awdbg-24 kqEFGe"><a class="sc-19awdbg-0 jjdiuF" href="/fr/maladies_et_symptomes/romain_boichat_fondateur_de_startup_desire_pouvoir_offrir_des_soins_medicaux_pour_tous"><div class="sc-19awdbg-1 bJwRQS"><div class="tczn0p-0 dKRQIw"><picture><source media="(min-width: 1025px)" srcSet="/.imaging/focus/dam/Netzwerk/Romain-Boichat--Soignez-moi.png?x=50&y=50&ratio=0.5625&width=600"/><source media="(min-width: 426px)" srcSet="/.imaging/focus/dam/Netzwerk/Romain-Boichat--Soignez-moi.png?x=50&y=50&ratio=0.5625&width=600"/><img src="/.imaging/focus/dam/Netzwerk/Romain-Boichat--Soignez-moi.png?x=50&y=50&ratio=0.5625&width=425" class="tczn0p-2 ktQGfO"/></picture><div class="tczn0p-3 hkgsDp"><div class="tczn0p-4 dAaRrr"></div></div></div></div><p class="sc-19awdbg-5 fAelDZ">Maladies & symptômes</p><div class="sc-19awdbg-2 fOolCd"><div class="sc-19awdbg-19 ibawSj"><div class="sc-19awdbg-20 gXqnAH"><h5 class="sc-1qyt53r-4 bqPmWm sc-19awdbg-3 jnFMKE">Romain Boichat, fondateur de startup, désire pouvoir offrir des soins médicaux pour tous</h5></div><div class="sc-19awdbg-15 hylSwn"><div class="sc-19awdbg-16 dANDcP"><p class="sc-1i5rjev-2 ijwDhN sc-19awdbg-4 kTtqAE">23.10.2020</p></div></div></div><p class="sc-1i5rjev-1 hPaqSL sc-19awdbg-4 kTtqAE">DrNow.ch / Soignez-moi.ch est la première plateforme de consultation en ligne pour les soins primaires. Seule plateforme de médecine en ligne en Suisse certifiée...</p></div></a></div><div width="12,12,12,6,4" offset="0" class="riphwg-2 sc-19awdbg-24 kqEFGe"><a class="sc-19awdbg-0 jjdiuF" href="/fr/maladies_et_symptomes/abces_il_n_est_pas_recommande_d_intervenir_soi_meme_a_la_main_ou_avec_un_couteau"><div class="sc-19awdbg-1 bJwRQS"><div class="tczn0p-0 dKRQIw"><picture><source media="(min-width: 1025px)" srcSet="/.imaging/focus/dam/Netzwerk/1530687825.jpg?ratio=0.5625&width=600"/><source media="(min-width: 426px)" srcSet="/.imaging/focus/dam/Netzwerk/1530687825.jpg?ratio=0.5625&width=600"/><img src="/.imaging/focus/dam/Netzwerk/1530687825.jpg?ratio=0.5625&width=425" class="tczn0p-2 ktQGfO"/></picture><div class="tczn0p-3 hkgsDp"><div class="tczn0p-4 dAaRrr"></div></div></div></div><p class="sc-19awdbg-5 fAelDZ">Maladies & symptômes</p><div class="sc-19awdbg-2 fOolCd"><div class="sc-19awdbg-19 ibawSj"><div class="sc-19awdbg-20 gXqnAH"><h5 class="sc-1qyt53r-4 bqPmWm sc-19awdbg-3 jnFMKE">Abcès : « Il n’est pas recommandé d’intervenir soi-même à la main ou avec un couteau ! »</h5></div><div class="sc-19awdbg-15 hylSwn"><div class="sc-19awdbg-16 dANDcP"><p class="sc-1i5rjev-2 ijwDhN sc-19awdbg-4 kTtqAE">21.10.2020</p></div></div></div><p class="sc-1i5rjev-1 hPaqSL sc-19awdbg-4 kTtqAE">Le Prof. Dr Aristomenis Exadaktylos, médecin-chef et directeur de clinique du service d’urgence universitaire (Hôpital universitaire de Berne), répond à nos questions sur les abcès. </p></div></a></div><div width="12,12,12,6,4" offset="0" class="riphwg-2 sc-19awdbg-24 kqEFGe"><a class="sc-19awdbg-0 jjdiuF" href="/fr/maladies_et_symptomes/cancer_du_sein_environ_6200_femmes_et_50_hommes_touches_chaque_annee_en_suisse"><div class="sc-19awdbg-1 bJwRQS"><div class="tczn0p-0 dKRQIw"><picture><source media="(min-width: 1025px)" srcSet="/.imaging/focus/dam/Adobe/Brustkrebs.jpeg?ratio=0.5625&width=600"/><source media="(min-width: 426px)" srcSet="/.imaging/focus/dam/Adobe/Brustkrebs.jpeg?ratio=0.5625&width=600"/><img src="/.imaging/focus/dam/Adobe/Brustkrebs.jpeg?ratio=0.5625&width=425" class="tczn0p-2 ktQGfO"/></picture><div class="tczn0p-3 hkgsDp"><div class="tczn0p-4 dAaRrr"></div></div></div></div><p class="sc-19awdbg-5 fAelDZ">Maladies & symptômes</p><div class="sc-19awdbg-2 fOolCd"><div class="sc-19awdbg-19 ibawSj"><div class="sc-19awdbg-20 gXqnAH"><h5 class="sc-1qyt53r-4 bqPmWm sc-19awdbg-3 jnFMKE">Cancer du sein : environ 6200 femmes et 50 hommes touchés chaque année en Suisse</h5></div><div class="sc-19awdbg-15 hylSwn"><div class="sc-19awdbg-16 dANDcP"><p class="sc-1i5rjev-2 ijwDhN sc-19awdbg-4 kTtqAE">02.10.2020</p></div></div></div><p class="sc-1i5rjev-1 hPaqSL sc-19awdbg-4 kTtqAE">Le cancer du sein (carcinome mammaire) est le type de cancer le plus fréquent chez les femmes : près d’un tiers des cancers diagnostiqués chez les femmes est un cancer du sein...</p></div></a></div></div></div><section class="qxqpcn-0 eehpjO"><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 qxqpcn-1 eDaGiC"><div class="qxqpcn-2 jlFskx"><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 iwBqiC"><div class="no1smy-0 cNYBch"><p style="margin-left:0cm; margin-right:0cm">Ce site web utilise des cookies. 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Des crises de coliques vésiculaires aiguës et répétées peuvent évoluer vers la chronicité. \u003c/p\u003e\n\u003cp\u003eLa cholécystite touche plus souvent les femmes que les hommes. Il est possible de prévenir les inflammations de la vésicule biliaire par une alimentation saine et équilibrée.\u003c/p\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eCauses\u003c/h3\u003e\u003cp\u003eDes crises de coliques précèdent souvent la survenue d`une cholécystite, souvent provoquée par des calculs biliaires.\u003c/p\u003e\n\u003ch3\u003eAutres causes:\u003c/h3\u003e\n\u003cul\u003e\n \u003cli\u003eInflammation d`autres organes (ex. intestin, rein) \u003c/li\u003e\n \u003cli\u003eAprès certains traumatismes (coups, accidents) \u003c/li\u003e\n \u003cli\u003eAnomalie congénitale de la vésicule biliaire \u003c/li\u003e\n \u003cli\u003ePolypes \u003c/li\u003e\n \u003cli\u003eTumeurs \u003c/li\u003e\n \u003cli\u003eInfections \u003c/li\u003e\n \u003cli\u003eAprès des interventions chirurgicales abdominales \u003c/li\u003e\n\u003c/ul\u003e\n\u003ch3\u003eFacteurs de risque:\u003c/h3\u003e\n\u003cul\u003e\n \u003cli\u003eSurcharge pondérale \u003c/li\u003e\n \u003cli\u003eAlimentation riche en graisses, mais des régimes pauvres en graisses peuvent également favoriser la survenue de cholécystite \u003c/li\u003e\n \u003cli\u003eAlimentation pauvre en fibres, régimes basés sur le jeûne \u003c/li\u003e\n \u003cli\u003eManque d`exercices physiques \u003c/li\u003e\n\u003c/ul\u003e\n\u003ch3\u003eFacteurs déclenchants d`une crise de cholécystite:\u003c/h3\u003e\n\u003cul\u003e\n \u003cli\u003eRepas lourds, riches en graisses \u003c/li\u003e\n \u003cli\u003eStress \u003c/li\u003e\n\u003c/ul\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eTroubles (symptômes)\u003c/h3\u003e\u003cul\u003e\n \u003cli\u003eCrise douloureuse aiguë (colique), principalement dans la partie supérieure de l`abdomen et à droite;\u0026nbsp; les douleurs peuvent également être rétrosternales et irradier jusqu`aux épaules \u003c/li\u003e\n \u003cli\u003eFièvre, frissons \u003c/li\u003e\n \u003cli\u003eNausée, vomissements \u003c/li\u003e\n \u003cli\u003eSelles colorées en jaune \u003c/li\u003e\n \u003cli\u003eJaunisse légère \u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003eEn cas de cholécystite chronique, les douleurs sont plus sourdes et moins intenses.\u003c/p\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eExamens (diagnostic)\u003c/h3\u003e\u003cul\u003e\n \u003cli\u003eAnamnèse médicale avec prise en compte des symptômes du patient; les douleurs sous forme de coliques et la sensibilité à la palpation de la partie supérieure de l`abdomen orientent le diagnostic du médecin vers une cholécystite. \u003c/li\u003e\n \u003cli\u003eExamens biologiques de laboratoire: ces examens permettent d`exclure d`autres maladies avec une symptomatologie similaire, telles que infarctus du myocarde, pancréatite aiguë, ulcères gastro-intestinaux, pneumonie, appendicite. \u003c/li\u003e\n \u003cli\u003eUltrasons: l`examen permet de visualiser les calculs biliaires.\u0026nbsp; \u003c/li\u003e\n \u003cli\u003eTomodensitométrie \u003c/li\u003e\n \u003cli\u003eEventuellement laparoscopie avec ablation de la vésicule biliaire \u003c/li\u003e\n\u003c/ul\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eOptions thérapeutiques\u003c/h3\u003e\u003cp\u003eUne cholécystite aiguë doit être traitée en milieu hospitalier afin d`éviter la survenue de complications aiguës.\u003c/p\u003e\n\u003cp\u003eLe traitement dépend des causes et de la sévérité de l`inflammation.\u003c/p\u003e\n\u003cul\u003e\n \u003cli\u003eMédicaments antispasmodiques \u003c/li\u003e\n \u003cli\u003eExtirpation des calculs : dissolution des calculs grâce à certains médicaments ; destruction des calculs par des ondes de choc (calculs biliaires) \u003c/li\u003e\n \u003cli\u003eLaparoscopie avec ablation de la vésicule biliaire (seulement en dehors de toute crise douloureuse; traitement de premier choix) \u003c/li\u003e\n \u003cli\u003eLaparotomie avec ablation de la vésicule biliaire en cas d`inflammation importante ou en présence de complications \u003c/li\u003e\n \u003cli\u003eTraitement de l`infection concomitante par des antibiotiques \u003c/li\u003e\n\u003c/ul\u003e\n\u003ch3\u003eMesures générales\u003c/h3\u003e\n\u003cul\u003e\n \u003cli\u003eEviter la surcharge pondérale ainsi que les régimes basés sur le jeûne \u003c/li\u003e\n \u003cli\u003eAlimentation saine et équilibrée riche en fruits et légumes et pauvres en viandes et en graisses; éventuellement recours à des huiles d`origine végétale \u003c/li\u003e\n \u003cli\u003eActivité physique régulière \u003c/li\u003e\n\u003c/ul\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}}]},{"type":"Area","children":[{"type":"Wrapper","children":[{"type":"Pe009TeaserGridHeader","props":{"componentColor":{"mainColor":"#F7F2E9","secondaryColor":"#FFFFFF"},"headline":"Egalement susceptible de vous intéresser"}},{"type":"Pe008TeaserGrid","props":{"componentColor":{"mainColor":"#F7F2E9","secondaryColor":"#FFFFFF"},"teaserCount":3},"children":[{"type":"Teaser","props":{"date":{"type":"Text","props":{"type":"small","content":"23.10.2020"}},"image":{"type":"Image","props":{"src":"/.imaging/focus/dam/Netzwerk/Romain-Boichat--Soignez-moi.png?x=50\u0026y=50","loadingIndicator":false,"ratio":"0.0"}},"teaserType":"default","link":{"type":"Anchor","props":{"href":"/fr/maladies_et_symptomes/romain_boichat_fondateur_de_startup_desire_pouvoir_offrir_des_soins_medicaux_pour_tous"}},"text":{"type":"Text","props":{"type":"normal","content":"DrNow.ch / Soignez-moi.ch est la première plateforme de consultation en ligne pour les soins primaires. Seule plateforme de médecine en ligne en Suisse certifiée..."}},"category":"Maladies \u0026 symptômes","headline":{"type":"Headline","props":{"type":"h5","content":"Romain Boichat, fondateur de startup, désire pouvoir offrir des soins médicaux pour tous"}}}},{"type":"Teaser","props":{"date":{"type":"Text","props":{"type":"small","content":"21.10.2020"}},"image":{"type":"Image","props":{"src":"/.imaging/focus/dam/Netzwerk/1530687825.jpg","loadingIndicator":false,"ratio":"0.0"}},"teaserType":"default","link":{"type":"Anchor","props":{"href":"/fr/maladies_et_symptomes/abces_il_n_est_pas_recommande_d_intervenir_soi_meme_a_la_main_ou_avec_un_couteau"}},"text":{"type":"Text","props":{"type":"normal","content":"Le Prof. Dr Aristomenis Exadaktylos, médecin-chef et directeur de clinique du service d’urgence universitaire (Hôpital universitaire de Berne), répond à nos questions sur les abcès. "}},"category":"Maladies \u0026 symptômes","headline":{"type":"Headline","props":{"type":"h5","content":"Abcès : « Il n’est pas recommandé d’intervenir soi-même à la main ou avec un couteau ! »"}}}},{"type":"Teaser","props":{"date":{"type":"Text","props":{"type":"small","content":"02.10.2020"}},"image":{"type":"Image","props":{"src":"/.imaging/focus/dam/Adobe/Brustkrebs.jpeg","loadingIndicator":false,"ratio":"0.0"}},"teaserType":"default","link":{"type":"Anchor","props":{"href":"/fr/maladies_et_symptomes/cancer_du_sein_environ_6200_femmes_et_50_hommes_touches_chaque_annee_en_suisse"}},"text":{"type":"Text","props":{"type":"normal","content":"Le cancer du sein (carcinome mammaire) est le type de cancer le plus fréquent chez les femmes : près d’un tiers des cancers diagnostiqués chez les femmes est un cancer du sein..."}},"category":"Maladies \u0026 symptômes","headline":{"type":"Headline","props":{"type":"h5","content":"Cancer du sein : environ 6200 femmes et 50 hommes touchés chaque année en Suisse"}}}}]}]}]},{"type":"Area","children":[{"type":"Pe007Comments","props":{"componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"enabled":false}}]},{"type":"Area","children":[{"type":"Pe012CookieNotice","props":{"acceptText":"J’accepte"},"children":[{"type":"RichText","props":{"content":"\u003cp style=\"margin-left:0cm; margin-right:0cm\"\u003eCe\u0026nbsp;site web utilise des cookies. 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