Question 48 · LEK · Surgery of the bile ducts and gallbladder
A 52-year-old obese woman went to see a gynecologist because of periodic bleeding from the reproductive tract. The abdominal ultrasound exam revealed incidentally a stone in the gallbladder of 2.5 cm in diameter. The patient was not aware of the cholelithiasis and she denies having any symptoms suggesting the disease. Which of the following is the optimal management?
- A. calming the patient and clinical follow-up.
- B. referral to the surgeon in order to perform elective cholecystectomy.
- C. urgent cholecystectomy.
- D. removal of the stone during endoscopic retrograde cholangiopancreatography (ERCP).
- E. referral for computed tomography in order to extend the diagnostics.
Hint
Ask whether an incidental, asymptomatic gallstone of this size meets any accepted criterion for prophylactic cholecystectomy.
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