Acute cholecystitis s acute infection of the gall bladder. Most often it is due to gall stones in the gall bladder. Without gall stone it is called as calculus. But it is less common. So when an individual has Acute cholecystitis, there we will have severe abdominal pain with fever and vomiting and patient also has a colicky pain that intermittent. Sometimes Acute cholecystitis may be associated with jaundice and if there is slippage of stones then it can be associated with severe jaundice too. If you visits a doctor within one week then doctor can consider surgery of the liver function is absolutely normal. If the liver function is deranged then we have to look for any stone slippage if it is present . Normally we admit these patients to treat it with higher antibiotics and we remove the stones with ERCP and endoscopy and then we do a laparoscopic colecystotomy. So if an individual has acute cholecystitis progressing after 2 weeks, only if there is a jaundice then there is an indication for surgery with ERCP, there is empyema gall bladder without jaundice, still we suggest the patient has to go in for a surgery immediately.

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