Description

The American Association for the Surgery on Trauma (AAST) reported a severity grading system for emergency general surgery. This can be applied to cholecystitis related emergency.


Patient selection: cholecystitis

 

Parameters:

(1) gallbladder and gallbladder wall

(2) adjacent sites

 

Gallbladder Wall

Adjacent Sites

Grade

intact with no acute inflammation

normal

0

acute inflammation

sterile

I

gangrenous, empyema, emphysematous

sterile

II

perforation

local contamination

III

perforation

pericholecystic abscess or GI fistula

IV

perforation

generalized peritonitis

V

 


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