A 30-year-old woman presents with right upper quadrant pain and fever. Ultrasound shows gallstones and a thickened gallbladder wall with pericholecyst...

Question

A 30-year-old woman presents with right upper quadrant pain and fever. Ultrasound shows gallstones and a thickened gallbladder wall with pericholecystic fluid. What is the most appropriate definitive management after initial resuscitation and antibiotics?

Accepted Answer

Early laparoscopic cholecystectomy

Answer

Long-term antibiotics alone

Answer

Open cholecystostomy without cholecystectomy in all

Answer

No further management once pain settles

Answer

Routine ERCP for all patients

au-amc MCQ (SBA): Acute cholecystitis

A 30-year-old woman presents with right upper quadrant pain and fever. Ultrasound shows gallstones and a thickened gallbladder wall with pericholecystic fluid. What is the most appropriate definitive management after initial resuscitation and antibiotics?