Severe Epigastric Pain Radiating in Surgery — 56yo Man | General Surgery | SMLE Q#944
SMLE Question #944
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 56-year-old man was admitted 2 days ago with severe epigastric pain radiating to the back and vomiting. Serum amylase was elevated. Abdominal ultrasound shows multiple gallstones and a common bile duct diameter of 9 mm without a definite ductal stone. After conservative management, his pain has resolved and he is tolerating oral intake with normal bilirubin and liver enzymes. What is the most appropriate next step in management?
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