Table 4.
Major features of the complicated biliary colic
| Additional findings compared to uncomplicated biliary pain | Leukocytosis, nausea, jaundice, vomiting, fever |
| Underlying potential complications | Acute pancreatitis, acute cholecystitis, biliary obstruction and cholangitis, gallbladder perforation, abscess formation, mucocele of the gallbladder |
| Decision | Quick admission to the hospital |
| Therapies | Antibiotics or invasive procedures with or without surgical procedures (Figure 1) |
| Early laparoscopic cholecystectomy recommended between 2 and 4[168] in mild and moderate acute cholecystitis |