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Quick Medical Diagnosis & Treatment
Cholecystitis, Acute
Sections: Key Features, Essentials of Diagnosis, General Considerations, Clinical Findings, Symptoms and Signs, Differential Diagnosis, Diagnosis, Laboratory Tests, Imaging Studies, Treatment, Medications, Surgery, Therapeutic Procedures, Outcome, Follow-Up, Complications, Gangrene of the gallbladder, Chronic cholecystitis and other complications, Prognosis, When to Admit, References,
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Topics Discussed: cholecystitis, acute.
Excerpt: | |  After 24–48 h, the following suggests severe inflammation and possible gangrene of the gallbladder:
| | – Continuation or progression of RUQ abdominal pain – Tenderness – Muscle guarding – Fever – Leukocytosis |
Necrosis may develop without definite signs in the obese, diabetic, elderly, or immunosuppressed patient May lead to gallbladder perforation, usually with formation of a pericholecystic abscess and rarely to generalized peritonitis
Other serious acute complications include emphysematous cholecystitis (secondary infection with a gas-forming organism) and empyema
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