A 49 yo pt presents with right hypochondriac pain. Inv show a big gallstone. What is the most
appropriate management?
a. Lap Cholecystectomy
b. Reassure
c. Low fat diet
d. Ursodeoxycholic acid
e. Emergency laparotomy
Q. 1. What is the key?
Q. 2. Points in favour?
Ans. 1. The key is A. Lap Cholecystectomy.
Ans. 2. i) as symptomatic only reassurence is not appropriate ii) as big stone
ursodyoxycholic acid is less effective iii) less invasiv is preferred so laparoscopic rather than laparotomy.