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
Countries affected by the 2004 Indian Ocean earthquake and tsunami Countries affected by the 2004 Indian Ocean earthquake and tsunami This article lists the countries affected by the 2004 Indian Ocean earthquake and the resulting tsunami in alphabetical order – for detailed information about each country affected by the earthquake and tsunami, see their individual articles. Countries with a smaller number of casualties, as well as those that lost citizens who were travelling abroad, are listed further on in the article. 10,749 casualties were confirmed on 27 January 2008, most of them in the Indian state of Tamil Nadu. There were 5,640 people missing, nearly all of them on the