Abstract
acute cholecystitis is a common clinical situation. Depending on the time of onset of the disease, the clinical course and patients conditions immediate surgical intervention or conservative therapy (fasting, antibiotics) might be the treatment of choice. Only when incarcerated stones are present in infundibulum of the gall bladder rapid surgical intervention is mandatory due to the high risk of gall bladder perforation. These incarcerated stones are often invisible with percutaneous ultrasound and so the clinical course is prolonged with an increased risk of gall bladder perforation.
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