A 45-year-old woman presents with a 3-month history of intermittent right upper quadrant (RUQ) pain, typically occurring after fatty meals. The pain i...

Question

A 45-year-old woman presents with a 3-month history of intermittent right upper quadrant (RUQ) pain, typically occurring after fatty meals. The pain is colicky and can last for a few hours. There is no jaundice or fever. An ultrasound scan reveals multiple gallstones within the gallbladder but no features of acute cholecystitis or biliary duct dilatation. What is the most appropriate management?

Accepted Answer

Elective laparoscopic cholecystectomy

Answer

Ursodeoxycholic acid

Answer

Low-fat diet and analgesia only

Answer

ERCP with sphincterotomy

Answer

Expectant management

ukmla MCQ (SBA): Symptomatic Gallstones (Biliary Colic)