Question

A 50-year-old with acute cholecystitis and suspected CBD stones has intermediate probability of choledocholithiasis (bilirubin 2.2 mg/dL, dilated CBD but no visible stones). Next step?

Accepted Answer

Perform EUS or MRCP to confirm before ERCP

Answer

Wait for spontaneous passage

Answer

Proceed directly to ERCP in all cases

Answer

No biliary evaluation needed

Answer

Start ursodeoxycholic acid

Practice question

A 50-year-old with acute cholecystitis and suspected CBD stones has intermediate probability of choledocholithiasis (bilirubin 2.2 mg/dL, dilated CBD but no visible stones). Next step?