Your opinions please regarding a 28 year old pregnant woman whose EDC is 5/10. About 3 weeks ago she had a single episode of abdominal pain. It was not particularly typical for biliary - was low to mid abdomen - really along the right lateral uterus. Normal liver enzymes and bilirubin.
The family doc got an ultrasound which showed a 2.6 cm polyp (actually the length of the stalk and the greatest diameter). Follow-up ultrasound now shows no change in the size of the polyps. Bile ducts are normal on both studies. She has not had any more pain.
My inclination is to do a lap chole after she delivers.
Does anyone believe that the risk of a significant neoplasm is sufficiently high to justify urgent operation? When the operation is done can it be a standard subserosal dissection, extra serosal (lap or open?) or should it include adjacent liver resection?