Cholecystectomy Empiric Abx: IV Gentamycin + (amoxicillin or ampicillin) (+ metronidazole if acalculous)

Take blood samples for culture and susceptibility testing before starting antibiotic therapy.

Inflammation of gallbladder

acute, chronic or **acute on chronic (**MOST COMMON). cholesterosis

Risk Factors: gall stones (95%)

• Fat, Female, Forty, Fair, Fertile
• increased age
• rapid weight change
• pregnancy
• Oral contraceptives
• Disorders of bile metabolism & Hyperlipidemias.
• Diabetes

Complications: cholangitis, secondary biliary cirrhosis, empyema, rupture, peritonitis

• Acute cholecystitis