Presentation
Right upper quadrant pain.
Patient Data
Age: 40 years
Gender: Female
From the case:
CBD steinstrasse - pre and post drop
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Gallstones in collapsed gallbladder.
Common hepatic and bile ducts packed with stones.
Solid organs normal.
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Gallbladder packed with stones.
Normal caliber CBD. No intraductal stone.
Case Discussion
A dramatic change in the appearance of the MRCP studies with a large number of the gallbladder stones having migrated ('dropped') into the common hepatic and bile ducts, forming an extrahepatic steinstrasse.
The 'Steinstrasse' in itself is impressive, but more so from the CBD having been devoid of stones within the prior year.
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