Acute cholecystitis

From Ganfyd

Acute inflammation of the gallbladder.

Some argue that conservative (non-operative) treatment and observation of acute cholecystitis is an acceptable option and should at least be considered in elderly and frail patients, not necessarily under surgical care, even though 30% will end up needing operation.^[1] Surgical treatment is most often by laparoscopic cholecystectomy.

Most cases are related to gallstone disease, but 5-10% occur in the absence of gallstone disease as is termed acalculous cholecystitis.

There is often an infective component, commonly Gram negative gut organisms.

References