A 45-year-old woman with obesity and type 2 diabetes presents with right upper quadrant pain after fatty meals. Ultrasound shows gallstones without ga...

Question

A 45-year-old woman with obesity and type 2 diabetes presents with right upper quadrant pain after fatty meals. Ultrasound shows gallstones without gallbladder wall thickening or pericholecystic fluid. There is no fever or leukocytosis. What is the most appropriate management?

Accepted Answer

Elective laparoscopic cholecystectomy

Answer

Immediate cholecystectomy for acute cholecystitis

Answer

Percutaneous cholecystostomy

Answer

Observation only without intervention

Answer

Broad-spectrum IV antibiotics

us-abfm MCQ (SBA): Symptomatic cholelithiasis

A 45-year-old woman with obesity and type 2 diabetes presents with right upper quadrant pain after fatty meals. Ultrasound shows gallstones without gallbladder wall thickening or pericholecystic fluid. There is no fever or leukocytosis. What is the most appropriate management?