Classification of acute cholecystitis is divided into 3 levels: mild, moderate and severe depending on the actual clinical situation. Diagnosis of acute cholecystitis is based on clinical examination, laboratory work, ultrasound, computed tomography and scintigraphy.

I just got back from an ultrasound with a double hourglass shaped gallbladder. Inflammation below the fibrous wall is 7mm thick, with a group of stones in the lumen. I come back often with pain in the right side. The pain has been dull for many days. The doctor advises me that I have an hourglass-shaped double-bottom gallbladder with dull pain in the right flank, do I need surgery?

In most cases, cholecystitis occurs when gallstones block the ducts that drain the gallbladder from the body. Other causes of cholecystitis include bile duct problems, tumors, serious illnesses, and certain infections. To accurately diagnose the disease, doctors often use ultrasound, CT scan, and MRI techniques to evaluate the condition of cholecystitis.