Cholecystitis is a topic covered in the 5-Minute Emergency Consult.

To view the entire topic, please or purchase a subscription.

Emergency Central is a collection of disease, drug, and test information including 5-Minute Emergency Medicine Consult, Davis’s Drug, McGraw-Hill Medical’s Diagnosaurus®, Pocket Guide to Diagnostic Tests, and MEDLINE Journals created for emergency medicine professionals. Explore these free sample topics:

Emergency Central

-- The first section of this topic is shown below --

Basics

Description

Cholecystitis is defined as inflammation of the gallbladder.

Etiology

  • Acute calculous cholecystitis:
    • Owing to bile stasis secondary to prolonged obstruction by a gallstone (see “Cholelithiasis”) in the gallbladder neck, cystic duct, or common bile duct
    • Leads to increased intraluminal pressure and mucosal damage
    • Release of inflammatory mediators results in distention, edema, and increased vascularity.
    • Coliforms and anaerobes lead to infection—primary causal role is controversial.
  • Acalculous cholecystitis:
    • 10% of cases
    • Underlying critical illness leads to biliary stasis and mucosal ischemia.
    • Subsequent mucosal inflammation and infection

Pediatric Considerations
  • Acute calculous cholecystitis extremely rare in childhood (see “Cholelithiasis”)
  • Acalculous cholecystitis more common than calculous form in children:
    • Associated with systemic bacterial infections, scarlet fever, Kawasaki disease, and parasitic infections

-- To view the remaining sections of this topic, please or purchase a subscription --

Citation

* When formatting your citation, note that all book, journal, and database titles should be italicized* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Cholecystitis ID - 307605 Y1 - 2016 PB - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307605/all/Cholecystitis ER -