A 45-year-old female has a solitary gall stone 1.5 cm in size which was incidentally diagnosed by ultrasound. She has no symptom. What should be the best line of management?: (A) Cholecystectomy only, if she develops biliary colic, (B) Lap cholecystectomy immediately, (C) Lap cholecystectomy even if she is asymptomatic after 2 months, (D) Open cholecystectomy even if she is asymptomatic after 2 months
Answer is A. Cholecystectomy only if she develops biliary colic * Symptomatic gallstones are the main indication for cholecystectomy. * Absolute contraindications for the procedure are uncontrolled coagulopathy and end-stage liver disease.