]> 2026-07-31T16:29:06+00:00 WBR0822 0 en Observation over the next 24 to 48 hours along with conservative management like nil per oral, naso gastric tube, intravenous fluids, antibiotics, analgesics and antiemetics '''Incorrect'''-Symptomatic and uncomplicated patients who are at reduced or no risk for progression towards complication like abscess formation or gallbladder perforation can be observed for the next 24 to 48 hours along with conservative management like keeping the patient on nil per oral with naso gastric tube, and intravenous fluids along with antibiotics, analgesics and antiemetics. If the patient condition deteriorates, an emergency cholecystectomy should be done. If his condition improves, an elective cholecystectomy can be done after 48 hours or when the inflammation subsides. Observation alone over the next 24 to 48 hours '''Incorrect'''-Observation should usually be accompanied by conservative treatment while managing uncomplicated acute cholecystitis patients. Emergency laparoscopic cholecystectomy '''Correct'''-In acute cholecystitis patients with high fever (>102.2 C), marked leukocytosis (>15,000 WBC), or chills suggesting suppurative progression, immediate laparoscopic cholecystectomy (within 24 hours) is the management of choice, which is known to be a safe procedure, shortening the hospital length of stay. Emergency open cholecystectomy '''Incorrect'''-A laparoscopic cholecystectomy is more effective, with fewer complications and can be done more quickly during emergency when compared to open procedure. If the patient is not medically stable for cholecystectomy, percutaneous aspiration is an option. Percutaneous cholecystectomy Emergency Room Vendhan Ramanujam C Gastrointestinal Hepatology 2020-10-28T01:47:44Z 2459150.5748148 WBR0822