Cholelithiasis

Case contributed by RMH Core Conditions

Presentation

Pancreatitis. Abnormal liver function tests.

Patient Data

Age: 65 years
Gender: Male
ultrasound

The gallbladder contains multiple shadowing calculi. The common bile duct measures 4mm. Although no CBD stone is seen, this does not definitively exclude choledocholithiasis.

The liver has slight increased echogenicity, with no focal liver lesions and no intrahepatic duct dilation. Decreased echogenicity within the liver at the gallbladder fossa is consistent with focal fatty sparing.

Conclusion

Cholelithiasis, with no convincing evidence of cholecystitis.

Case Discussion

Cholelithiasis and alcohol use make up the two most common (and vast majory) of causes of pancreatitis. 

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