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.
Urgent cholecystectomy or cholecystostomy under antibiotic coverage
Conservative management followed by interval cholecystectomy
Conservative treatment and treat primary cause like DM
Urgent ERCP
Gallbladder