A 50-year-old woman presents with a 2-month history of right upper quadrant pain, worse after fatty meals. She reports no fever or jaundice. An ultras...

Question

A 50-year-old woman presents with a 2-month history of right upper quadrant pain, worse after fatty meals. She reports no fever or jaundice. An ultrasound scan confirms multiple gallstones within the gallbladder, with a normal common bile duct diameter and no gallbladder wall thickening. What is the most appropriate management according to NICE CG188?

Accepted Answer

Refer for elective laparoscopic cholecystectomy

Answer

Ursodeoxycholic acid

Answer

Advise low-fat diet only

Answer

Endoscopic retrograde cholangiopancreatography (ERCP)

Answer

Analgesia and watchful waiting

mrcgp akt MCQ (SBA): Symptomatic Gallstones