Background: Acute calculous cholecystitis (ACC) is the most frequent complication of gallstones requiring cholecystectomy. These patients may have coexisting choledocholithiasis. We aimed to evaluate the role of current guidelines for choledocholithiasis in patients with ACC. Methods: In this retrospective study, we included all patients diagnosed with ACC between December 2018 and May 2019.
These patients were sub stratified according to the guidelines of the American and European Societies of Gastrointestinal Endoscopy (ASGE and ESGE) as having high, intermediate, or low likelihood of choledocholithiasis, and the diagnostic performance was measured. Binomial logistic regression analysis was applied to ascertain independent risk factors for choledocholithiasis. Results: A total of 173 patients with ACC, mean age (±standard deviation) 49.89±15.74 years and 60.1% male, were included.…