Question

A 49-year-old woman with obesity and no significant past medical history presents with right upper quadrant pain after fatty meals. Ultrasound shows gallstones without ductal dilation. What is the most appropriate management?

Accepted Answer

Elective laparoscopic cholecystectomy.

Answer

Immediate ERCP.

Answer

No treatment; reassure and observe indefinitely.

Answer

Start ursodeoxycholic acid indefinitely.

Answer

Percutaneous cholecystostomy.

Practice question

A 49-year-old woman with obesity and no significant past medical history presents with right upper quadrant pain after fatty meals. Ultrasound shows gallstones without ductal dilation. What is the most appropriate management?