A 60-year-old with suspected acute cholecystitis has RUQ pain, fever, leukocytosis, positive Murphy sign; ultrasound shows gallstones and wall thicken...

Question

A 60-year-old with suspected acute cholecystitis has RUQ pain, fever, leukocytosis, positive Murphy sign; ultrasound shows gallstones and wall thickening. Best initial management?

Accepted Answer

IV antibiotics and early laparoscopic cholecystectomy

Answer

Immediate ERCP

Answer

Observation only

Answer

Percutaneous cholecystostomy first in all

Answer

Open cholecystectomy routine

us-abem MCQ (SBA): Acute Cholecystitis

A 60-year-old with suspected acute cholecystitis has RUQ pain, fever, leukocytosis, positive Murphy sign; ultrasound shows gallstones and wall thickening. Best initial management?