Acute cholecystitisRefer

Gut & liver · OPD · Locked · first month free

By Dr Javed Akhtar · Last reviewed 2 October 2026

Drugs on this card

Ceftriaxone, Metronidazole (severe, or biliary–gut anastomosis), Diclofenac (biliary colic), Ondansetron

Advice and when to refer

Surgery: Early laparoscopic cholecystectomy (within 72 h) if fit; stop antibiotics within 24 h of surgery if uncomplicated, about 4 d after source control if complicated (TG18, latest; SIS 2024)

Investigations

First visit

USG abdomen — Test of choice: stones, thick wall, Murphy’s sign, CBD diameter.
CBC, LFT — Infection and biliary obstruction.
Amylase/lipase — Exclude gallstone pancreatitis.

Only if indicated

MRCP — Jaundice, high ALP or dilated CBD (suspected CBD stone).
Blood culture — Fever with rigors (cholangitis).
ECG — Upper abdominal pain in a cardiac-risk patient.

Locked

The adult dose for each drug
Indian brand names for each drug, with a link to buy

Open Acute cholecystitis in OPD

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