Question
A 45 year old lady who has a known case of psoriasis on Vitamin D and Beclomethasone presents to you with acute pain in the right flank of 6 hours duration. The pain was sudden, severe and radiating to the loins. Her pulse is 80/min and BP is 126/76. She is afebrile with a soft abdomen and some flank tenderness. USG reveals a right renal calculus of 0.5cm with no hydronephrosi. There are associated gallstones with non distended gall bladder and normal CBD. What will be the management of gallstones in her?
| A. | Laparoscopic cholecystectomy |
| B. |
Open cholecystectomy |
| C. |
No treatment at this time |
| D. |
UDCA |
|
Correct Answer � C Explanation |
 |
Answer- C No treatment at this time
This patient has symptoms of renal pain and during evaluation for that was found to have gallstones. These are asymptomatic gallstones and require no further management for this time. In 15 years only 20% patients with asymptomatic gallstones will require treatment.