Acute Acalculous Cholecystitis Treatment Options Explored

Acalculous cholecystitis, a condition characterized by gallbladder inflammation without the presence of gallstones, can be both painful and disruptive to daily life. Fortunately, there are effective strategies to manage and treat this condition.

One of the primary approaches is medical management, which involves the use of medication to reduce inflammation and manage symptoms. For patients experiencing recurring episodes of cholecystitis without gallstones or polyps, and who are not yet ready for surgery, drug therapy may be a suitable option. Medications such as anti-inflammatory agents, magnesium sulfate, and bile-stimulating supplements can help promote bile drainage and improve gallbladder function. In many cases, this conservative treatment can lead to significant symptom relief or even full resolution of the inflammation.

However, in some situations, surgical intervention becomes necessary. When a patient continues to suffer from frequent gallbladder attacks despite the absence of stones, it often indicates a serious impairment in gallbladder function. These flare-ups may occur every one to two weeks or months and typically present with symptoms such as tenderness in the upper right abdomen, rebound tenderness, or a positive Murphy's sign—especially after eating. Laparoscopic cholecystectomy, a minimally invasive procedure to remove the affected gallbladder, is often recommended in such cases. This surgery typically results in long-term symptom relief and prevents future episodes of inflammation.

In conclusion, while non-surgical treatment can provide temporary relief for some patients, gallbladder removal surgery remains the most effective solution for those suffering from chronic acalculous cholecystitis. Always consult with a healthcare professional to determine the most appropriate treatment plan based on individual health needs.