Retained gallstone

Case contributed by Eric F Greif , 7 Jun 2017
Diagnosis certain
Changed by Tee Yu Jin, 8 Jun 2019

Updates to Case Attributes

Age changed from 48 to 50 years.
Body was changed:

PatientThe patient was status post cholecystectomy about one year ago and had continued right abdominal pain. Multiple follow up abdominal CTs were performed in which there was no mention of the retained gallstones. Eventually, an abdominal MRI was performed in which a presumed diagnosis of retained gallstones was made. This was confirmed by surgical exploration and removal of the stones.

  • -<p>Patient was status post <a title="Cholecystectomy" href="/articles/cholecystectomy-1">cholecystectomy</a> about one year ago and had continued right abdominal pain. Multiple follow up abdominal CTs were performed in which there was no mention of the <a title="Retained gallstones" href="/articles/retained-gallstone">retained gallstones</a>. Eventually, an abdominal MRI was performed in which a presumed diagnosis of retained gallstones was made. This was confirmed by surgical exploration and removal of the stones.</p>
  • +<p>The patient was status post <a href="/articles/cholecystectomy-1">cholecystectomy</a> about one year ago and had continued right abdominal pain. Multiple follow up abdominal CTs were performed in which there was no mention of the <a href="/articles/retained-gallstone">retained gallstones</a>. Eventually, an abdominal MRI was performed in which a presumed diagnosis of retained gallstones was made. This was confirmed by surgical exploration and removal of the stones.</p>

Updates to Study Attributes

Findings was changed:

There are a couple of adjacent focal T1 hyperintensities in the hepatorenal recess, with corresponding T2 hypointensity (yellow arrows), representing retained (dropped) gallstones, which was confirmed by surgery.

Images Changes:

Image Annotated image (Axial T1 fat sat annotated ) ( update )

Description was removed:
T1 hyperintense retained gallstones in the hepatorenal recess (yellow arrows).

Image Annotated image (Axial T2 annotated ) ( update )

Description was removed:
T2 hypointense retained gallstones in the hepatorenal recess (yellow arrows).

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