Cholecystitis Acalculous

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Cholecystitis Acalculous

Acalculous Cholecystitis is an inflammation of the gallbladder without gallstones, often seen in critically ill or post-surgical patients, or those with trauma, infections, or long-term fasting. It can be life-threatening if not diagnosed early and managed appropriately.

Unlike typical cholecystitis caused by gallstones, this condition arises due to reduced blood flow (ischemia), bile stasis, or infection, leading to gallbladder wall inflammation and sometimes necrosis.

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Who is at Risk?

  • Critically ill patients (ICU admissions)

  • Severe trauma or burns

  • Sepsis or major infections

  • Long-term intravenous nutrition (TPN)

  • Post-surgical patients

  • Diabetes or vascular diseases

Symptoms of Acalculous Cholecystitis

  • Sudden, severe upper right abdominal pain

  • Fever and chills

  • Nausea or vomiting

  • Bloating or indigestion

  • Jaundice in some cases

  • Abdominal tenderness, especially in the right upper quadrant

In critically ill or unconscious patients, symptoms may be subtle, and diagnosis relies on imaging.

Diagnosis and Treatment in Ghaziabad

Diagnostic tools include:

  • Ultrasound (thickened gallbladder wall, fluid around gallbladder)

  • CT scan for detailed assessment

  • HIDA scan (to evaluate gallbladder function)

  • Blood tests for infection and liver function

Treatment options:

  • IV antibiotics to control infection

  • Supportive care (fluids, pain relief, nutritional management)

  • Cholecystostomy (drain insertion) for high-risk surgical patients

  • Laparoscopic cholecystectomy (gallbladder removal) for stable patients

Prompt treatment is essential to prevent gallbladder rupture, gangrene, or sepsis.

Why Choose Us?

  • Experienced GI and surgical specialists

  • Emergency care for critically ill patients

  • Advanced imaging and interventional radiology

  • Minimally invasive gallbladder surgery in Ghaziabad