acute acalculous cholecystitis
acute acalculous cholecystitisA rare but serious condition (up to 50% mortality) affecting approximately 5% of patients undergoing cholecystectomy, in which no stones are present in the inflamed gallbladder.
Fever, right-upper quadrant pain.
ICU, long-term TPN, diabetes, pregnancy, sepsis, hepatitis A.
CBC count, liver function tests, blood culture; bile cultures are negative in half of cases.
Uncertain, possibly bile stasis and increased lithogenicity of bile.
Open or laparoscopic cholecystectomy.