Emergent cholecystectomy: Incorrect

About 10% of patients with acute cholecystitis require emergency treatment. These are cases in which the disease appears to have become complicated or is about to. High fever (>102.2), marked leukocytosis (>15k WBC), or chills suggest suppurative progression. Acalculous acute cholecystitis is also placed in this category. Other signs of complications such as worsening abdominal pain (gallbladder perforation) or the appearance of an abdominal mass (abscess formation) is a reason for surgery. If the patient is not medically stable for cholecystectomy, percutaneous aspiration is an option.

Mrs. Jones does not yet have the signs of severe disease requiring emergent treatment. She has a moderate fever currently, a moderate leukocytosis, and does not appear toxic. Therefore emergent cholecystectomy is not indicated.

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