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Gallstone pancreatitis — USMLE Step 3 MCQ

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ModerateSurgery (post-operative, follow-up)Gallstone pancreatitisUSMLE Step 3

A 45-year-old woman is hospitalized with mild gallstone pancreatitis. Pain and nausea have improved with fluids and analgesia. Ultrasound shows gallstones without common bile duct dilation. Bilirubin and liver enzymes are improving. Which of the following is the most appropriate next step in management?

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Correct answer: C — Perform laparoscopic cholecystectomy during the same admission

Same-admission cholecystectomy is recommended after mild gallstone pancreatitis to prevent recurrence.

Reference: SAGES gallstone pancreatitis management guidance: https://www.sages.org/