Facharzt FMH Chirurgie Practice Questions - Facharzt FMH Für Chirurgie Spécialiste FMH En Chirurgie Exam

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A 52-year-old woman presents to the emergency department with a 36-hour history of severe right upper quadrant colicky pain radiating to the right scapula, accompanied by nausea and fever (38.3°C). Physical examination reveals a positive Murphy's sign. Transabdominal ultrasound demonstrates gallstones, a thickened gallbladder wall (5 mm), and pericholecystic fluid. Laboratory tests show WBC 13.2 × 10^9/L, total bilirubin 18 µmol/L (normal

Elective laparoscopic cholecystectomy after 6 to 8 weeks of outpatient oral antibiotic therapy Endoscopic retrograde cholangiopancreatography (ERCP) with routine biliary sphincterotomy prior to any surgery Early laparoscopic cholecystectomy during the index admission, ideally within 72 hours of symptom onset Percutaneous transhepatic gallbladder drainage (cholecystostomy) as definitive curative treatment

Correct Answer:

Early laparoscopic cholecystectomy during the index admission, ideally within 72 hours of symptom onset

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