[Acute non-calculous cholecystitis]

The authors compared their own clinical experience with existing literature and noticed that acute non-calculous cholecystitis is a clinical picture with explosive evolution and a very high mortality, presenting atypical clinical signs in very ill patients recovering from previous non-surgical disease. In a series of 350 operations on gallbladder and biliary ducts over a five years period 86 cases of acute cholecystitis were confirmed. Only 4 were proven to be acute acalculous cholecystitis. This means 1.14% on the whole series and 4.65% on the series of acute cholecystitis. Early diagnosis and immediate surgery are needed to reduce mortality.