Successful Conservative Therapy in Patient with Cholelithiasis and Acute Cholecystitis with Elevated Liver Enzymes: A Case Report

Gallbladder disease has been a global medical burden. Acute cholecystitis is caused by stone either inside the gallbladder or in the bile ducts. Complications from the event could manifests as severe abdominal pain and may also cause elevated liver enzymes. We have long known cholelithiasis risk factors as 4F, which could also be found on young male patients. We report a young man with severe upper right quadrant-epigastric pain and nausea accompanied by the skin and sclera appeared jaundice. His laboratory showed elevated liver enzymes. Ultrasonography showed acute cholecystitis with sludge gallblader. In these patient, conservative care is carried out before further management. The liver function test was repeated and the results showed improvement. The repeated ultrasonography revealed cholelithiasis without signs of cholecystitis and sludge gallbladder. The purpose of this article is to discuss about cholelithiasis and cholecystitis, that cause elevated liver enzymes and its conservative treatment.