This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Gall Bladder & Bile Ducts, Subject name: Surgery
Not a Contraindication for lap cholecystectomy 
Select and explain. 
A. Acute cholecystitis, B. Cancer Gallbladder, C. Portal Hypertension, D. Bleeding Diathesis
A: Acute cholecystitis
Answer: A: Acute cholecystitis 
Explanation: Ans. (a) Acute CholecystitisRef: Blumgart 5th edition Page 514* Acute cholecystitis, the treatment of choice is Lap Cholecystectomy.* In other conditions surgery should be done by Open method.Contraindications to Laparoscopic cholecystectomy Absolute# Unable to tolerate general anesthesia# Refractory coagulopathy# Suspiciion of carcinomaRelative# Previous upper abdominal surgery# Cholangitis# Diffuse peritonitis# Cirrhosis or portal hypertension# Chronic obstructive pulmonary disease# Cholecystenteric fisula# Morbid obesity# Pregnancy