Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Acute acalculous cholecystitis.

Philip S Barie1, Soumitra R Eachempati

  • 1Department of Surgery, NewYork-Presbyterian Hospital, Weill Medical College of Cornell University, 525 East 68th Street, P-713A, New York, NY 10021, USA. pbarie@med.cornell.edu

Current Gastroenterology Reports
|July 17, 2003
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Familiar but unprepared: Artificial intelligence training needs in graduate medical education.

Surgery·2026
Same author

Defining failure to rescue in emergency general surgery on the Eve of Centers for Medicare and Medicaid Services adoption: A scoping review.

Surgery·2026
Same author

Artificial intelligence literacy and infectious diseases competency: Essential considerations for future revisions of the surgical critical care curriculum.

The journal of trauma and acute care surgery·2026
Same author

A scoping review of artificial intelligence in acute care surgery: promise, pitfalls, and a path forward.

International journal of surgery (London, England)·2026
Same author

Surgical Infection Society Guidelines on the Prevention and Management of Pediatric Intra-Abdominal Infection: 2025 Update.

Surgical infections·2025
Same author

<i>Letter:</i> Addressing Persistent Challenges in Surgical Site Infection Prediction, Detection, and Management: The Need for Multimodal, Inclusive Approaches.

Surgical infections·2025
Same journal

Management of Common Bile Duct Stones: Current Approaches and Evolving Endoscopic Strategies.

Current gastroenterology reports·2026
Same journal

Solitary Rectal Ulcer Syndrome Revisited: A Comprehensive Narrative Review.

Current gastroenterology reports·2026
Same journal

The Microbiome and Esophageal Disease: Where Are We Now?

Current gastroenterology reports·2026
Same journal

Fermented Durian Tempoyak as a Source of Probiotics for Colorectal Cancer Prevention through Gut Microbiome Modulation.

Current gastroenterology reports·2026
Same journal

A Practical Guide to Incorporating Novel Barrett's Screening/Surveillance Tools into Clinical Practice.

Current gastroenterology reports·2026
Same journal

The Role of Endoscopic Ultrasound in the Diagnosis and Management of Congenital Gastrointestinal and Pancreaticobiliary Conditions.

Current gastroenterology reports·2026
See all related articles

Acute acalculous cholecystitis, gallbladder inflammation without stones, affects critically ill patients. Percutaneous cholecystostomy is the primary treatment, offering an 85% success rate.

Area of Science:

  • Gastroenterology
  • Critical Care Medicine

Background:

  • Acute acalculous cholecystitis (GACC) occurs in critically ill patients, not exclusively surgical or ICU cases.
  • Associated conditions include diabetes, malignancy, vasculitis, heart failure, and shock.
  • Pediatric cases may follow viral illnesses.

Purpose of the Study:

  • To review the pathogenesis, diagnosis, and management of acute acalculous cholecystitis.
  • To highlight diagnostic criteria and current therapeutic mainstays.

Main Methods:

  • Review of existing literature on acute acalculous cholecystitis.
  • Discussion of diagnostic modalities, primarily ultrasound.
  • Analysis of treatment outcomes for cholecystectomy versus percutaneous cholecystostomy.

Related Experiment Videos

Main Results:

  • Ultrasound is the most accurate diagnostic tool, with gallbladder wall thickness >3.5 mm and pericholecystic fluid as key indicators.
  • Percutaneous cholecystostomy is the mainstay, achieving disease control in approximately 85% of patients.
  • Mortality rates for percutaneous and open cholecystostomy are similar, reflecting underlying illness severity.

Conclusions:

  • Percutaneous cholecystostomy is the preferred initial treatment for acute acalculous cholecystitis.
  • Interval cholecystectomy is generally not required in survivors if gallstones are absent and the underlying condition is managed.