The clinical diagnosis of chronic cholecystitis (CCH) is generally verified by biopsy. It involves numerous and variable morphological findings, ranging from minimal to gross alterations in the gallbladder structure. Many surgeons have misused the term cholecystitis as a synonym for cholecystolithiasis. The controversial category of “minimal CCH” includes the presence of slight mononuclear infi...

Introduction: Differentiation gallbladder cancer from mimicking cholecystitis, such as xanthogranulomatous cholecystitis or IgG4 related is still challenging, and it necessary for differentiation them avoiding unnecessary radical resection in benign lesion incomplete cancer. We analyzed value of preoperative percutaneous needle biopsy them. Methods: Eighteen patients who underwent were evaluate...

Introduction: Clostridium perfringens (C. perfringens) is an unusual cause of bacteraemia in the healthy, immunocompetent host. Similarly, acalculous cholecystitis is rare in the absence of critical illness or preceding trauma. We present, to the best of our knowledge, the first documented case of concurrent C. perfringens bacteraemia and acalculous cholecystitis in a previously well human. Cas...

INTRODUCTION Of people admitted to hospital for biliary tract disease, 20% have acute cholecystitis. Up to the age of 50 years, acute calculous cholecystitis is three times more common in women than in men, and about one and a half times more common in women than in men thereafter. About 95% of people with acute cholecystitis have gallstones. Optimal therapy for acute cholecystitis, based on ti...

Laparoscopic cholecystectomy is no more an elective procedure. The question is when to perform laparoscopic cholecystectomy in the face of acute cholecystitis. The last decade (1995-2004) 297 patients had a laparoscopic cholecystectomy for acute cholecystitis. One hundred forty six of them were operated in the first 24-48h after the onset of symptoms (group I), 68 were operated in less than 4 w...

Introduction Using bedside ultrasound in diagnosing acute cholecystitis in the emergency department (ED) can save time, help the decision making process and allocate resources wisely. This study aimed to evaluate the diagnostic accuracy of bedside right upper quadrant (RUQ) ultrasonography in detection of acute cholecystitis. Method In this diagnostic accuracy study, patients presenting to ED...

OBJECTIVES Percutaneous cholecystostomy (PC) is an established low-mortality treatment option for elderly and critically ill patients with acute cholecystitis. The primary aim of this review is to find out if there is any evidence in the literature to recommend PC rather than cholecystectomy for acute cholecystitis in the elderly population. METHODS In April 2007, a systematic electronic data...

Although chest pain with ST-segment elevation is often indicative of cardiac ischemia, it has also been described with surgical conditions such as acute cholecystitis. We report the case of a 34-year-old Caucasian female who was referred with symptoms consistent with acute cholecystitis. An electrocardiogram (ECG) showed unexpected changes with inferolateral ST-segment elevation indicative of a...

There are 13 cases of campylobacter cholecystitis reported so far in the medical literature. Among them, only 4 patients had diarrhea. We report another case of acalculous cholecystitis in a setting of campylobacter enteritis. The case report is followed by a literature review regarding this rare condition.

A case of suspected chronic cholecystitis who underwent laparotomy, was found to have agenesis of gall bladder. Standard investigative modalities which are done for chronic cholecystitis might be fallacious and baffling. Agenesis of gall bladder should be kept in mind whenever the gall bladder is improperly visualised in routine imaging methods.