06-07-2008, 03:47 PM
A 62-year-old asymptomatic woman undergoes abdominal ultrasonography for evaluation for a possible aortic aneurysm. Ultrasonography shows a normal aorta, as well as a normal abdomen and pelvis; however, gallstones are detected. The rest of the biliary tree and liver are normal, without evidence of ductal dilation or gallbladder wall abnormalities.
Which one of the following represents the appropriate management of this patient?
( A ) No treatment at this time
( B ) Elective cholecystectomy
( C ) Dissolution therapy with ursodeoxycholic acid
( D ) Stone fragmentation by lithotripsy
( E ) Low-fat diet
Which one of the following represents the appropriate management of this patient?
( A ) No treatment at this time
( B ) Elective cholecystectomy
( C ) Dissolution therapy with ursodeoxycholic acid
( D ) Stone fragmentation by lithotripsy
( E ) Low-fat diet