Supporting Hours : Monday to Saturday - 8am to 10pm
New Visit

Chronic Acalculous Cholecystitis

Signs & Symptoms

 Lasts several hours
Ref: Uptodate [ Pathogenesis, clinical features, and diagnosis of acute cholecystitis] Harrison [ 2426] Harrison [ 76] Cecil [ 472]
Vascular disease
Ref: Uptodate [ Acalculous cholecystitis]
Last months or years
Ref: Uptodate [ Acalculous cholecystitis]
Recurrent biliary symptoms
Ref: Uptodate [ Acalculous cholecystitis]

Physical Examination

 Ill patient
Ref: Uptodate [ Pathogenesis, clinical features, and diagnosis of acute cholecystitis] Cecil [ 473] Epocrates [ https://online.epocrates.com/diseases/7831/Acute-cholecystitis/Diagnostic-Approach]
Acute
Ref: Uptodate [ Pathogenesis, clinical features, and diagnosis of acute cholecystitis] Cecil [ 473]
Critically ill patient
Ref: Uptodate [ Pathogenesis, clinical features, and diagnosis of acute cholecystitis] Cecil [ 473] Epocrates [ https://online.epocrates.com/diseases/7831/Acute-cholecystitis/Diagnostic-Approach]

Lab / Serology

 Abnormal liver function tests
Ref: Uptodate [ Acalculous cholecystitis]
Hyperbilirubinemia
Note: much more common in acalculous than calculous cholecystitis
Ref: Uptodate [ Acalculous cholecystitis]
Serum aminotransferase elevations
Ref: Uptodate [ Acalculous cholecystitis]

Imagin Study

 Ultrasound demonstrate poor emptying over a prolonged period
Ref: Harrison [ 2428]
HIDA scan perforation
Ref: Uptodate [ Acalculous cholecystitis]
HIDA scan Leakage into pericholecystic space
Note: due to perforation
Ref: Uptodate [ Acalculous cholecystitis]

Complication

 Pain aggravate by motion
Ref: Uptodate [ History and physical examination in adults with abdominal pain]
Peritonitis
Ref: Uptodate [ Acalculous cholecystitis]
Sepsis
Ref: Uptodate [ Acalculous cholecystitis]

Risk Factors

 Burns
Ref: Unknown [ 0]
Nonbiliary surgery in postoperative period
Ref: Unknown [ 0]
Postpartum period
Ref: Unknown [ 0]

Cause

 Gallbladder ischemia
Ref: Cecil [ 473]
Gallbladder stasis
Ref: Cecil [ 473]
Caused by Gallbladder ischemia
Ref: Cecil [ 473]

Other