Acalculous cholecystitis is a slippery beast. It's pretty uncommon, lurking among the myriad of sick ICU patients with moderately abnormal gallbladders. It is likely both under-diagonsed and over-diagonsed at various times. Indeed, since surgical cholecystectomy is currently rare, it is frequently unclear whether a patient ever had acalculous cholecystitis! (For example, if a cholecystostomy drain is placed and the patient recovers, it may remain murky whether the drain was truly required.) This chapter attempts to sift through the confusion.
The IBCC chapter is located here.
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