Question: why are liver enzymes elevated in cholecystitis?
Answer: Conversely, about 95% of patients with acute cholecystitis have cholelithiasis. When a stone becomes impacted in the cystic duct and persistently obstructs it, acute inflammation results. Bile stasis triggers release of liver enzymes e.g., serum 5 NT, ALP, AST, ALT along with serum bilirubin level.