A 10-year-old boy is brought to the emergency department with complaints of intermittent abdominal pain over the past few weeks, which has worsened in intensity. The pain is localized to the right upper quadrant and often occurs after meals, particularly after eating fatty foods. The parents also report that he has been experiencing nausea and occasional vomiting. There is no history of recent illness, but the boy has had some weight gain recently.

On physical examination, the boy appears uncomfortable, with tenderness in the right upper quadrant upon palpation. Murphy's sign is positive. Laboratory tests reveal elevated liver enzymes, but his white blood cell count is normal. An abdominal ultrasound is performed, revealing multiple small gallstones within the gallbladder, confirming the diagnosis of cholelithiasis.

The pediatric surgical team is consulted, and it is recommended that the boy undergo laparoscopic cholecystectomy due to the recurrent nature of his symptoms. The parents are counseled about the procedure and reassured that the surgery is commonly performed with a high success rate. The patient is scheduled for surgery, and in the meantime, dietary modifications, including a low-fat diet, are advised to manage symptoms.

The family is relieved to have a diagnosis and a treatment plan in place, and the boy is expected to make a full recovery after surgery with no long-term complications.