QuestionSBA
QuestionChoice
Some complications of gallstones may be treated conservatively in the initial instance with a cholecystectomy perfomed a few weeks later, but this patient is asymptomatic and there is no evidence of cholecystitis/cholangitis.
10028455
e
Intravenous fluids and antibiotics
QuestionChoice
There is nothing to suggest an emergency in this presentation.
10028454
d
Urgent laparotomy
QuestionChoice
This is correct. This describes asymptomatic gallstones which are common and require no treatment unless symptoms develop.
10028451
a
Reassurance with safety netting
QuestionChoice
This is not indicated in the absence of symptoms, it is indicated if the patient develops symptoms or complications of gallstones.
10028452
b
Elective laparascopic cholecystectomy
QuestionChoice
This is indicated to clear stones in the bile duct in cases of obstructive jaundice with indications including pancreatic ductal disease.
10028453
c
Endoscopic Retrograde Cholangio-Pancreatography
Concept
Chapter
2693
6065
Gallstone disease
Topic
315
Surgery
18088
Asymptomatic gallstones are common and typically do not require treatment. Patients should be safety-netted and advised to seek medical attention if symptoms such as pain, jaundice, fever, or vomiting occur, indicating potential complications like biliary colic or cholecystitis.
A 45 year old woman is undergoing pre-assessment for bariatric surgery. Imaging reveals gallstones in the gallbladder. She denies any symptoms of indigestion, nausea or vomiting.

Which of the following treatment options is most appropriate?
a