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Select Term (34)

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Select Term (34)

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164.

A 53-year-old man presented to the emergency department due to post-prandial epigastric pain and pruritus. The patient also reports dark-coloured urine. Examination reveals yellowish colouration of the sclera and skin. Rectal examination found a discoloured stool in the rectal ampulla. Laboratory investigations: HGB 12.5 g/dL, HCT 36%, CRP 5 mg/L, bilirubin 80 μmol/L (4.68 mg/dL). Ultrasonography shows a common bile tract 11 mm in diameter with stone present and a thin-walled gallbladder without deposits and without wall thickening. Select the correct diagnosis and management:

A. acute cholecystitis - laparoscopic cholecystectomy with antibiotic therapy.
B. cholangitis - medical management with antibiotic therapy.
C. cholangitis - endoscopic retrograde cholangiopancreatography with antibiotic therapy.
D. choledocholithiasis - patient qualification for endoscopic retrograde cholangiopancreatography.
E. provided information is insufficient to establish a diagnosis, and all options are equally likely.

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