Cholecystitis- Drs Jeffrey Ponsky and Rae Hanke

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Key Takeaways

• Cholecystitis diagnosis requires clinical correlation with imaging findings, typically ultrasound showing gallbladder wall thickening.
• Initial management includes NPO status, IV fluids, antibiotics, and pain control before definitive surgical intervention.
• Laparoscopic cholecystectomy is the gold standard treatment, with timing dependent on patient stability and inflammation severity.
• Critical view of safety must be achieved during cholecystectomy to prevent bile duct injury, the most serious operative complication.
• Pediatric cholecystitis may present atypically and requires high index of suspicion in children with abdominal pain and fever.

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