A 59-year-old man with suspected acute cholecystitis presents with right upper quadrant pain, fever and leukocytosis. Ultrasound confirms gallstones a...

Question

A 59-year-old man with suspected acute cholecystitis presents with right upper quadrant pain, fever and leukocytosis. Ultrasound confirms gallstones and gallbladder wall thickening. What is the most appropriate initial management?

Accepted Answer

Conservative management with IV antibiotics, fluids and analgesia, followed by early laparoscopic cholecystectomy

Answer

Immediate ERCP

Answer

Open cholecystectomy as an emergency at night in all cases

Answer

No antibiotics are required

Answer

Long-term Ursodeoxycholic acid only

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

A 59-year-old man with suspected acute cholecystitis presents with right upper quadrant pain, fever and leukocytosis. Ultrasound confirms gallstones and gallbladder wall thickening. What is the most appropriate initial management?