What Is Acalculous Cholecystitis? What Are Its Implications? How Is It Managed?

  • Manpreet SinghEmail author


Acalculous cholecystitis (ACC) typically occurs in patients with underlying, severe comorbid medical or surgical conditions. It has increased morbidity and mortality compared to cholecystitis due to gallstones. ACC is difficult to diagnose but should be considered in elderly, hospitalized, or immune-compromised patients with fever and abdominal pain. Although cholecystectomy is the preferred treatment, many patients with ACC are poor surgical candidates because of their underlying comorbid conditions or clinical status. Thus treatment often initially involves percutaneous or endoscopic intervention and antibiotics.


Acalculous cholecystitis (ACC) Percutaneous cholecystostomy 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Emergency MedicineDavid Geffen School of Medicine at UCLA, Harbor-UCLA Medical CenterTorranceUSA

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