Question

A 34-year-old woman presents with intermittent right upper quadrant pain radiating to the back, occurring after fatty meals and lasting about an hour. She has normal blood tests and ultrasound shows multiple gallstones without bile duct dilatation. What is the most appropriate management?

Accepted Answer

Elective laparoscopic cholecystectomy

Answer

Conservative management with reassurance only

Answer

Ursodeoxycholic acid to dissolve the stones

Answer

Immediate ERCP

Answer

Open cholecystectomy as first-line

Practice question

A 34-year-old woman presents with intermittent right upper quadrant pain radiating to the back, occurring after fatty meals and lasting about an hour. She has normal blood tests and ultrasound shows multiple gallstones without bile duct dilatation. What is the most appropriate management?