Bile stasis in critically ill patients can lead to inflammation and secondary infection.
Relatively common cause of fever, leukocytosis +/- abdominal tenderness in critically ill patients (M > F).
Palpable gallbladder and jaundice more common than calculous cholecystitis.
Pathogens similar to calculous cholecystitis, but can also be caused by opportunistic pathogens in immunosuppressed patients.
Dx by U/S.
Treatment requires prompt source control - cholecystectomy vs. cholecystostomy - Send anaerobic cultures and STAT gram stain.
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