التهاب المرارة الحصوي الحاد مع الصدمة الإنتانية — الإدارة عند رفض الجراحة أو تعذّرها

DOI: 10.1186/s13017-020-00336-x

We suggest considering NOM, i.e. best medical therapy with antibiotics and observation, for patients refusing surgery or those who are not suitable for surgery.

We recommend avoiding laparoscopic cholecystectomy in case of septic shock or absolute anaesthesiology contraindications.

We recommend performing gallbladder drainage in patients with ACC who are not suitable for surgery, as it converts a septic patient with ACC into a non-septic patient.

The removal of the infected material can result in reduced inflammation and in improvement of the clinical conditions.