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BILIARY TRACT
Case #2 -
A 40 year old woman with epigastric pain and fever

DISCUSSION QUESTIONS:
7.) What are treatment options in acute cholecystitis?

Treatment options in acute cholecystitis:



Treatment of choice: early laparoscopic cholecystectomy (greater risk of conversion to open procedure)



Cholecystostomy: in toxic, sick patient who is not a candidate for cholecystectomy.



Medical management with IV antibiotics if patient is not an operative candidate and does not require urgent decompression of biliary tract

 
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