A 36-year-old woman presents with recurrent right upper quadrant pain after fatty meals. Ultrasound shows gallstones and a thickened gallbladder wall....

Question

A 36-year-old woman presents with recurrent right upper quadrant pain after fatty meals. Ultrasound shows gallstones and a thickened gallbladder wall. She has a fever and positive Murphy sign. What is the most appropriate management?

Accepted Answer

Urgent laparoscopic cholecystectomy during this admission

Answer

Outpatient analgesia and observation only

Answer

Elective cholecystectomy in 6 months

Answer

ERCP only

Answer

Percutaneous cholecystostomy in all cases

ca-mccqe1 MCQ (SBA): Acute calculous cholecystitis

A 36-year-old woman presents with recurrent right upper quadrant pain after fatty meals. Ultrasound shows gallstones and a thickened gallbladder wall. She has a fever and positive Murphy sign. What is the most appropriate management?