AI Article Synopsis
- Acute cholecystitis (AC) is primarily caused by gall bladder stones, with cholescintigraphy being the most accurate diagnostic test.
- Ultrasound is the most commonly used method for confirming AC diagnosis despite cholescintigraphy's higher sensitivity and specificity.
- Laparoscopic cholecystectomy is the preferred treatment, but in high-risk patients, percutaneous gall bladder drainage is a safer option, requiring a pause in anticoagulation therapy to prevent serious bleeding.
Article Abstract
Acute cholecystitis (AC) is mainly caused by stones in the gall bladder. Although cholescintigraphy has the highest sensitivity (97%) and specificity (94%) for AC, ultrasound is the most commonly used technique in confirming the diagnosis. Laparoscopic cholecystectomy is the recom-mended treatment of choice; however, in high-risk patients percutaneous gall bladder drainage is an attractive alter-native approach to avoid lesions to the common bile duct. To avoid serious bleeding incidences, it is imperative to pause anticoagulation therapy prior to gall bladder drainage.
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