Parkland Grading Scale for Cholecystitis
Parkland Grading Scale for Cholecystitis (Madni 2018) grades a gallbladder 1 to 5 from what the surgeon sees once it is exposed.
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Hyperemia
- Yes
- Impacted stone (Mirizzi)
- Yes
Result: Parkland grade 4 of 5, reached through the anatomy clause.
The tool opens with these values already filled in. Replace them with your own.
What you enter
- Minor adhesions at the neck only (grade 2)
- Hyperemia (grade 3)
- Pericholecystic fluid (grade 3)
- Adhesions to the body (grade 3)
- Distended gallbladder (grade 3)
- Adhesions obscuring the majority of the gallbladder (grade 4)
- Abnormal liver anatomy (grade 4)
- Intrahepatic gallbladder (grade 4)
The other 4 fields
- Impacted stone (Mirizzi) (grade 4)
- Perforation (grade 5)
- Necrosis (grade 5)
- Gallbladder cannot be seen at all for adhesions (grade 5)
How this is calculated
Madni TD, Leshikar DE, Minshall CT, Nakonezny PA, Cornelius CC, Imran JB, et al. The Parkland grading scale for cholecystitis. Am J Surg. 2018;215(4):625-630. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.