Cholecystitis as choledocholithiasis. People who are old, have diabetes, chronic illness, or who are immunocompromised may have vague symptoms that may not include fever or localized tenderness. A number of complications may occur from cholecystitis if not detected early or properly treated. Signs of complications include high fever, shock and jaundice. Complications include the following: Cholecystitis causes the gallbladder to become distended and firm. Distension can lead to decreased blood flow to the gallbladder, causing tissue death and eventually gangrene. Once tissue has died, the gallbladder is at greatly increased risk of rupture (perforation). Rupture can also occur in cases of
Species affected by poaching Western states. Commercial poachers kill grizzly bears, moose, bighorn sheep, elk, mountain lions, eagles and snakes. Domestic bear species such as American black bear are slaughtered for their body parts that are used for exotic foods, medicinal purposes and as aphrodisiacs. Walrus is poached for the ivory of their tusks, white-tailed deer for antlers and meat, bobcats for their pelts, and bighorn sheep as trophies. Elk antlers and seal penises are used for medicinal purposes. Paddlefish and sturgeon eggs are sold as caviar. Redfish, shellfish, trout and salmon are poached for meat, snakes for their skins, bald eagles for their