The diagnosis and management of elderly patients with acute cholecystitis can be challenging due to less specific complaints, concomitant diseases, and broader differential diagnoses. Geriatric patients with cholecystitis often present without specific or localizing abdominal complaints, and laboratory testing may be unremarkable due to a less robust inflammatory response. Imaging modalities should be used liberally, and computed tomography may initially be more helpful than ultrasound. Once the diagnosis is made, treatment options vary for the elderly because of their comorbidities. Conservative, noninvasive initial management may be better than immediate surgical intervention.
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