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Question 21: General Surgery MCQWhich of the following is the most common complication of acute cholecystitis?EmpyemaPerforationGangrenous cholecystitisGallstone ileusCholecystoenteric fistulaAnswer: EmpyemaExplanation: Empyema, which is the accumulation of pus within the gallbladder, is the most common complication of acute cholecystitis. It occurs in about 2-3% of cases. The other complications listed are less common. Gangrenous cholecystitis and perforation are more severe complications that can occur if treatment is delayed.