Mrs. Sorrento, you have acute cholecystitis, which means that your gallbladder may have to come out.

Sorrento 夫人，你得了急性胆囊，这意味着你的胆囊可能要被切掉。

Almost all cases of acute cholecystitis though, about 90%, clear up after about a month and the gallstone dislodges.

但所有的急性胆囊的病例，大概90%，都能够在一个月左右痊愈并排出胆石。

Depending on the severity of the chronic cholecystitis, removal of the gallbladder might be needed even if it hasn't progressed to the porcelain state.

即使未发展至瓷化胆囊，根据慢性胆囊的重程度，患者也可能需要接受胆囊切除。

So with the price of college tuition being what it is, and my mother had that gallbladder operation, well, we're just a little tapped out at the moment.

我得负担孩子的大学学费，外加上我妈妈的胆囊手费用，所以，现在手头并不宽裕。

Signs and symptoms of gallstone ileus include abdominal distension from the blockage, as well as nausea and vomiting, and a history of recurrent right upper quadrant pain, which is consistent with the repeated inflammation of chronic cholecystitis.

胆石性肠梗阻的症状和体征包括梗阻引起的腹胀、恶心、呕吐，反复发作的右上腹痛史，这与慢性胆囊的反复症症状一致。

On rare occasion, a large stone (typically over two and a half centimeters) can cause ongoing or repeated inflammation of the gallbladder, which can make the wall of the gallbladder a bit edematous or swollen and slightly more sticky.

在一些罕见情况下，一颗大的结石（通常大于2.5cm）可以引起持续性或反复性胆囊，可能导致胆囊壁轻微水肿或肿胀，伴轻微粘性。

Alright, as a quick recap: gallstone ileus is where repeated cholecystitis, or inflammation of the gallbladder, cause a cholecystoenteric fistula to form, allowing gallstones to travel to the small bowel and become lodged, which can lead to mechanical obstruction.

得！快速回顾一下：胆石性肠梗阻是由于反复发作的胆囊，即胆囊性疾病，会导致胆囊肠道瘘形成，胆结石可由此直接进入小肠使其堵塞，引发机械性肠梗阻。