Diagnosis and Treatment of Acute Cholecystitis

Diagnosis and Treatment of Acute Cholecystitis.

A quick and accurate diagnosis is essential to prevent complications.

Common Diagnostic Tools:

• Physical examination (Murphy’s sign)
• Ultrasound – the most accurate test to confirm gallstones or inflammation
• Blood tests – check for infection or liver function abnormalities
• CT scan or MRI – used in unclear cases or complications

In well-equipped hospitals in South Africa’s cities, imaging is usually available. In more remote areas, delays in diagnosis can lead to higher complication rates.

Treatment Options

1. Hospitalisation
   • Most patients require admission for monitoring and pain management
     
     
2. Fasting and IV fluids
   • To rest the digestive system
     
     
3. Antibiotics
   • Used to treat or prevent infection
     
     
4. Pain relief
   • IV analgesics are typically administered
     
     
5. Surgery – Cholecystectomy
   • The gallbladder is surgically removed
   • Laparoscopic (keyhole) surgery is the gold standard
   • Urgent surgery is done if infection or necrosis occurs

In rural public hospitals, Diagnosis and Treatment of Acute Cholecystitis surgery may be delayed due to resource constraints. Patients are often transferred to regional centres.

🔹 Next → [Complications and Long-Term Management]

Van Niekerk C S Gastroenterologist Pretoria

Causes and Risk Factors of Acute Cholecystitis

Symptoms and Recognition of Acute Cholecystitis

Acute Cholecystitis(Opens in a new browser tab)