A type of Gallstone Diseases

Location

• Gallbladder

Presentation

• Biliary “Colic” Pain, > 12h
• OR Fever
• Murphy’s Sign - AC
• Complications:
  • Secondary infections:
    • E. Coli
    • Enterococcus Species
  • Ischemia

Investigation

• US
  • May see thickened gallbladder wall
• Lab finding:
• DDx:
  • PUD - Peptic Ulcer Disease, Hepatitis, !Acute Pancreatitis, !Appendicitis
  • Pneumonia, !MI

Treatment

• ABCs (primary survey), IV Fluid Resuscitation
• IV Abx: CTX - Ceftriaxone (3 gen IV)
• Emergency Cholecystectomy