NBEO Systemic Disease Practice Exam

Chronic cholecystitis, characterized by inflammation of the gallbladder often due to gallstones, has several potential complications, one of the most significant being gallbladder cancer. The chronic inflammation and irritation of the gallbladder wall can lead to cellular changes over time, which may predispose individuals to the development of malignant cells. This association highlights the importance of monitoring patients with chronic cholecystitis, as the risk for gallbladder cancer, though relatively low compared to other cancers, increases with the duration and severity of the condition.

In contrast, pneumonia, diabetes, and kidney stones are not direct complications of chronic cholecystitis. Pneumonia typically results from pulmonary infections or complications, rather than from issues related to the gallbladder. Diabetes is a metabolic disorder primarily associated with insulin resistance or deficiency and does not directly connect with gallbladder pathology. Kidney stones may share common risk factors related to dietary habits or metabolic conditions but are not a complication of gallbladder issues. Thus, the development of gallbladder cancer stands out as a clear and serious consequence of chronic cholecystitis.