A 55-year-old obese woman presents with right upper quadrant pain, fever and positive Murphy’s sign. Ultrasound shows gallstones with gallbladder wall...

Question

A 55-year-old obese woman presents with right upper quadrant pain, fever and positive Murphy’s sign. Ultrasound shows gallstones with gallbladder wall thickening. She is haemodynamically stable. What is the recommended definitive management once stabilised?

Accepted Answer

Elective laparoscopic cholecystectomy during the same admission or soon after

Answer

Conservative management with low-fat diet only

Answer

Ursodeoxycholic acid long-term

Answer

Open cholecystectomy in 2–3 years

Answer

ERCP alone without surgery

uk-plab-1 MCQ (SBA): Acute cholecystitis

A 55-year-old obese woman presents with right upper quadrant pain, fever and positive Murphy’s sign. Ultrasound shows gallstones with gallbladder wall thickening. She is haemodynamically stable. What is the recommended definitive management once stabilised?