diagnostic criteria for acute cholecystitis
Last edited 02/2022 and last reviewed 02/2022
The Tokyo Guidelines (TG13/TG18) for the management of acute cholangitis and cholecystitis proposed the following as diagnostic criteria for acute cholecystitis:
A. Local signs of inflammation, etc.:
(1) Murphy's sign, (2) RUQ mass/pain/tenderness
B. Systemic signs of inflammation, etc.:
(1) Fever, (2) elevated CRP, (3) elevated WBC count
C. Imaging findings: imaging findings characteristic of acute cholecystitis
Suspected diagnosis:
- one item in A+ one item in B
Definite diagnosis:
- one item in A+ one item in B + C
Note: acute hepatitis, other acute abdominal disease, and chronic cholecystitis should be excluded
Reference: