Best treatment for the given type of cholecystitis is:
In X-Ray, GB shows presence of air, that gives the diagnosis of emphysematous cholecystitis. M.C organism responsible for emphysematous cholecystitis is clostridium perfringens (anaerobe). M.C aerobic organism responsible is E. coli. - Cause of Xanthogranulomatous cholecystitis ( non -infectious condition)- rupture of Rokitansky-Aschoff sinuses. Investigation of choice: NCCT. Rx: Urgent cholecystectomy or cholecystostomy + antibiotics.
Gallbladder
Urgent cholecystectomy or cholecystostomy under antibiotic coverage
Conservative management followed by interval cholecystectomy
Conservative treatment and treat primary cause like DM
Urgent ERCP
Urgent cholecystectomy or cholecystostomy under antibiotic coverage