Acalculous Cholecystitis

  • – Older male> female
  • – Occurs in
  •              • Prolonged fasting
  •              • Hemodynamic instability       ↑   Triad
  •              • Immobility
  • – Fever, RUQ pain, Leukocytosis, Tenderness may be present
  • – More fulminant course

                  USG finding:

  • – GB wall thickening (>4mm)
  • – Sonographic murphy’s sign
  • – Pericholecystic fluid collection
  • – Sensitivity 67-92%, specificity >90%

                       CT scan finding:

  • – GB wall thickening>4 mm
  • – Subserosal edema
  • – Intramural gas
  • – Pericholecystic fluid collection
  • – Sloughed mucosa

         Treatment options of acalculous cholecystitis

  • – Surgical cholecystectomy and cholecystostomy
  • – Percutaneous cholecystostomy
  • – Transpapillary endoscopic cholecystostomy

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