Background: Laparoscopic cholecystectomy has become the standard of care for the elective management of cholelithiasis. Little information exists, however, regarding the appropriateness of this procedure in the setting of acute symptomatology. Objective: This study was designed to evaluate the outcome of laparoscopic cholecystectomy in acute and severe acute cholecystitis based on early and lat...

This article discusses the definitions, pathophysiology, and epidemiology of acute cholangitis and cholecystitis. Acute cholangitis and cholecystitis mostly originate from stones in the bile ducts and gallbladder. Acute cholecystitis also has other causes, such as ischemia; chemicals that enter biliary secretions; motility disorders associated with drugs; infections with microorganisms, protozo...

Inflammation of the gallbladder without evidence of calculi is known as acute acalculous cholecystitis (AAC). AAC is frequently associated with gangrene, perforation, and empyema. Due to these associated complications, AAC can be associated with high morbidity and mortality. Medical or surgical treatments can be chosen according to the general condition of the patient, underlying disease and ag...

Introduction: It is well known that acute cholecystitis can sometimes mimick coronary ischemia with similar pattern of chest pain and ST segment changes and T-wave inversions in ECG. However, dynamic ECG changes which are highly suggestive of coronary ischemia, in a patient of acute calculous cholecystitis is a rare phenomenon. A normal coronary angiogram established that the peculiar ECG chang...

Biliary disease is among the commonest and costliest diseases of the digestive system with an estimated 15% prevalence of gallstones in the United States population. While cholelithiasis may often remain asymptomatic, some patients eventually progress to biliary colic and acute cholecystitis. Both biliary colic and acute cholecystitis present with right upper quadrant pain, with pain persisting...

Acute cholecystitis can arise in two distinct patient populations: (1) the relatively healthy ambulatory patient who develops acute inflammation of the gallbladder as a result of gallstones and (2) the critically ill, hospitalized patient who may or may not have gallstones. For most patients with acute calculous cholecystitis, surgical removal of the gallbladder is the preferred treatment optio...

The diagnosis and staging of acute cholecystitis, upon a lot of diagnostic methods and some scoring systems, is still a great clinical problem. The aim of the study was to investigate if serum Troponin I is elevated in patients with acute cholecystitis. Following informed consent, 65 patients with clinical and laboratory signs of acute cholecystitis were enrolled. All patients had measured seru...

OBJECTIVE To evaluate the efficacy of laparoscopic cholecystectomy (LC) in acute and chronic cholecystitis and compare it with the open procedure. METHODS This is a 5-year retrospective analysis performed at our hospital. Surgical treatment of gallbladder disease was performed in 1003 patients. Acute cholecystitis was present in 120 (11.9%) patients, and chronic cholecystitis was present in 8...

Little information is available on the factors influencing length of stay (LOS) in hospital and medical costs during hospitalization associated with cholecystectomy for acute cholecystitis. We determined the independent factors affecting LOS and medical costs of patients who underwent cholecystectomy for acute cholecystitis based on data from the Diagnosis Procedure Combination (DPC) database. ...

The aim of this study is to draw attention to acute acalculous cholecystitis, a rare complication that may occur during the post-burn period (usually within 20-30 days). A 42-yr-old male patient, the victim of 35% TBSA high-voltage electrical burns that caused the amputation of both upper extremities by day 45 post-burn, was brought to our operating theatre suffering from acute acalculous chole...