Acalculous Cholecystitis | Causes, Risk Factors and Diagnosis
Learn about acalculous cholecystitis, its causes, risk factors, and diagnostic methods.
By: Dr. Ahmed Abdel Salam Abdel Kader Ibrahim
🟢 Acalculous Cholecystitis
Acalculous cholecystitis is an inflammation of the gallbladder without gallstones ⚠️
It usually occurs as a complication of a severe medical or surgical condition.
🧪 Causes
1. Increased bile viscosity
Bile stasis and thickened bile may occur in:
🏥 Critically ill patients
🦠 Sepsis patients
💉 Long-term TPN patients
❤️ Cardiac patients
🩸 Diabetic patients
❗ Lack of oral feeding reduces cholecystokinin, leading to poor gallbladder contraction.
2. Gallbladder ischemia
Caused by:
🌡️ Fever
💧 Dehydration
❤️ Heart failure
➡️ This leads to reduced blood flow and gallbladder wall damage.
⚠️ Risk Factors
🩸 Diabetes mellitus
🦠 HIV infection
🧬 Vascular diseases
🧫 Hepatitis A
🏥 Sepsis
❤️ Cardiac or aortic surgery
⛔ Prolonged fasting & malnutrition
🏥 ICU patients
🔥 Burns & trauma
💊 Opioid use
⚠️ Multi-organ failure
🔬 Diagnosis
Diagnosis is based on:
🩸 CBC test
🧪 Liver function tests
🩻 Ultrasound imaging
🖥️ CT scan
📌 Imaging findings:
Gallbladder wall thickening > 3 mm
Gallbladder distension
Abscess or perforation in severe cases
Dr. Mohamed Mansour Kamel provides advanced bariatric surgery services in Mohandessin and Giza, including medical assessment and discussion of suitable surgical options based on obesity level, medical history, and each patient's needs.
Learn about common sports injuries, their causes, diagnosis, treatment, rehabilitation, and safe return to physical activity with Dr. Ahmed Bassiouny.
Discover Doppler ultrasound services in Sharqia at Dr. Mahmoud El-Tawil Diagnostic Radiology, Ultrasound & Doppler Center in Awlad Saqr, offering accurate diagnostic examinations using modern medical technology and detailed reports to support diagnosis and treatment follow-up.
Learn how laser hair removal works, how many sessions may be needed, and important pre- and post-treatment tips with Dr. Qamaria Tarek El-Banna.
