Ugeskr Læger 2017;179:V02170126
Radiology diagnostics and treatment of acute cholecystitis
Acute cholecystitis (AC) is mainly caused by stones in the gall bladder. Although cholescintigraphy has the highest sensitivity (97%) and specificity (94%) for AC, ultrasound is the most commonly used technique in confirming the diagnosis. Laparoscopic cholecystectomy is the recommended treatment of choice; however, in high-risk patients percutaneous gall bladder drainage is an attractive alternative approach to avoid lesions to the common bile duct. To avoid serious bleeding incidences, it is imperative to pause anticoagulation therapy prior to gall bladder drainage.