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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 lipase have improved with fluids and analgesia. Ultrasound shows gallstones without common bile duct dilation. Total bilirubin is normal. She is tolerating oral intake. Which of the following is the most appropriate at this time?

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Correct answer: B — Laparoscopic cholecystectomy during the same hospitalization

For mild gallstone pancreatitis without ongoing obstruction, same-admission cholecystectomy reduces recurrent biliary events.

Reference: American College of Gastroenterology pancreatitis guideline