A 40-Year-Old Man Comes to the Physician Due to Right

A 40-year-old man comes to the physician due to right abdominal pain especially severe after fatty meals. He has a hsitory of recurrent same episodes which is localized to the upper quadrent. Two year ago, he had a penetrate abdominal trauma for which an extensive bowel was resected. Examination shows right upper quadrant tenderness on deep palpation.  Initial laboratory studies show moderate leukocytosis with normal hepatic transaminase, amylase, and lipase levels. Ultrasound of the abdomen reveals new several mobile echogenic foci within the gallbladder lumen.  .  Which of the following is most likely responsible for the development of gallstones in this patient?

A) Decreased cholecystokinin release due to lack of enteral stimulation
B) Decreased cholesterol conversion to bile acids due to liver dysfunction
C) High cholesterol content of the nutritional fluids
D) Inadequate supplementation of essential fatty acids
E) Increased gastrin release in response to parenteral amino acids

Correct Answer:

Verified

Unlock this answer now
Get Access to more Verified Answers free of charge

Access For Free