DOI: 10.36347/sasjm.2018.v04i08.002

Pages: 116-118

Abstract: Gangrenous cholecystitis (GC) or necrotizing cholecystitis, a grim complication of acute cholecystitis with high morbidity and mortality, commonly seen in old age and patients with concurrent co-morbidities like diabetes. The patients may present with or without signs of acute cholecystitis. Early identification and case-specific intervention are vital to avoid an unwanted outcome. Physicians working as first-level responders such as emergency or primary care should be vigilant to diagnose and to plan a case-based intervention to prevent the potentially worst outcome.