An ultrasound performed for right upper quadrant discomfort in a 42-year-old woman reveals a 12 mm pedunculated polyp arising from the gallbladder fundus. The rest of the gallbladder is normal. What is the most appropriate management?

• A Cholecystectomy ✓
• B Repeat ultrasound at 6 months only if symptoms worsen
• C Reassure and repeat ultrasound at 12 months
• D Percutaneous needle aspiration of the polyp

Explanation

C gallbladder polyp of 10 mm or larger carries a significant risk of harboring malignancy and warrants cholecystectomy regardless of symptoms. Polyps under 6 mm without risk factors can be safely observed with serial ultrasound. Percutaneous aspiration risks bile leak and tumor seeding and has no role here, eliminating option D.

Reference: Sabiston Textbook of Surgery, 21st ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.