Definition

Inflammation of the gallbladder

Pathophysiology

1. 90% are secondary to gallstones but not causing obstructions

Presentation

• RUQ pain +/- radiation to Rt shoulder

• Fever / Sepsis

• Murphy's sign - inspiratory arrest on RUQ palpation

• LFT is typically normal (non-obstructing stone)

  • cholestatic LFT → consider Mirizzi syndrome
  • Gallstone impacted in distal cystic duct

Workup

1. Ultrasound first line
2. Cholescintigraphy (HIDA scan) may be indicated if USS inconclusive

Management

1. IV antibiotics
2. Early laparoscopic cholecystectomy within 1 week of diagnosis