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
The Body in the Library earlier, Anne Meredith knows Ariadne Oliver as the writer of a book called "The Body in the Library". In the first episode of the second series ("And the Moonbeams Kiss the Sea") of the television series "Lewis," the body of a handyman is found in the Bodleian Library. DS James Hathaway comments to DI Robbie Lewis, "You realise what we've got, don't you, sir. ... The body in the library." The 1984 television film "The Body in the Library" was part of the BBC series of "Miss Marple", with Joan Hickson making the first of her acclaimed appearances in the