الفهرس 
AnatomyOnly 14 pages are availabe for public view
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Abstract
Non calcular cholecystitis pose significant challenges to surgeons in terms of timely snd accurate diagnosis , careful evaluation and delineation of the disease, and appropriate decision making with regard to the formulation of a treatment plan based upon individual risk assessment .
Non calcular cholecystitis may be acute non calcular cholecystitis or chronic non calcular cholecystitis , it occurs suddenly or gradually over many years .
Acalcular cholecystitis is a severe illness that is a complication of various medical or surgical condition .
Acute non calcular cholecystitis is most commonly observed in the setting of very ill patient (patients on mechanical ventilation, with sepsis , severe Burn injuries , after severe trauma , major surgery ). And can be caused by tumour of the pancrieas , with diabetic patient due to decreased blood supply to the gallbladder and with immuno deficiency virus (HIV) infection .
Chronic non calcular cholecystitis may occur with recurrent acute cholecystitis and in pregnancy due to metabolic changes, increasing in the concentration of bile , increased sand of biliary tree and biliary dyskinesia . This may lead to fibrosis of the gall bladder and loss of its function ( storage and evacuation of bile ) , cholestasis and stone formation.