A 48-year-old obese woman presents with right upper quadrant pain, fever and a positive Murphy’s sign. Ultrasound confirms gallstones and a thickened ...

Question

A 48-year-old obese woman presents with right upper quadrant pain, fever and a positive Murphy’s sign. Ultrasound confirms gallstones and a thickened gallbladder wall. What is the most appropriate management?

Accepted Answer

Early laparoscopic cholecystectomy during the same admission

Answer

Elective cholecystectomy after 6 months

Answer

Immediate open cholecystectomy only if symptoms recur

Answer

Conservative treatment only with analgesia

Answer

Long-term antibiotics without surgery

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

A 48-year-old obese woman presents with right upper quadrant pain, fever and a positive Murphy’s sign. Ultrasound confirms gallstones and a thickened gallbladder wall. What is the most appropriate management?