What blood tests are helpful in the workup of suspected gallstone (cholelithiasis) complications?

Updated: Apr 01, 2019
  • Author: Douglas M Heuman, MD, FACP, FACG, AGAF; Chief Editor: BS Anand, MD  more...
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Answer

In patients with suspected gallstone complications, blood tests should include a complete blood cell (CBC) count with differential, liver function panel, and amylase and lipase.

Acute cholecystitis is associated with polymorphonuclear leukocytosis. However, up to one third of the patients with cholecystitis may not manifest leukocytosis.

In severe cases, mild elevations of liver enzymes may be caused by inflammatory injury of the adjacent liver.


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