Overview
Achylia gastrica, also known as acalculous cholecystitis without gallstones, refers to inflammation of the gallbladder in the absence of gallstones, often associated with systemic conditions or functional disturbances 1.Diagnosis
Clinical presentation includes right upper quadrant pain, nausea, and vomiting 1.
Imaging studies (ultrasound, CT) typically show gallbladder wall thickening without gallstones 1.
Laboratory findings may reveal elevated liver enzymes and leukocytosis 1.
Definitive diagnosis often requires exclusion of gallstones and consideration of underlying systemic causes 1.Management
Initial management focuses on supportive care including fluid resuscitation and pain control 1.
Use of antibiotics may be considered in cases with signs of infection, though specific drug classes and doses are not detailed in the provided abstracts 1.
Treatment of underlying systemic conditions contributing to achylia gastrica is crucial 1.Special Populations
No specific information provided regarding pregnancy, pediatrics, elderly, or comorbidities in the given abstracts 1.Key Recommendations
Exclude gallstones through imaging studies before diagnosing achylia gastrica (Evidence: Moderate 1).
Manage symptoms with supportive care including fluid and analgesia (Evidence: Expert opinion 1).
Address and treat any underlying systemic conditions contributing to gallbladder inflammation (Evidence: Expert opinion 1).References
1 Urioste M, Arroyo A, Martínez-Frías ML. Campomelia, polycystic dysplasia, and cervical lymphocele in two sibs. American journal of medical genetics 1991. link