Cholelithiasis and choledocholithiasis

Case contributed by Ian Bickle


Right upper quadrant pain.

Patient Data

Age: 70 years
Gender: Male

Three large laminated gallstones.

Thin walled gallbladder containing 3 large angulated stones.

CBD dilatation due to obstructing mid and distal ductal stones.

Mild intrahepatic duct dilatation.

Simple renal cysts.

Case Discussion

Gallstones come in all sizes and shapes.

I rather like the angulated laminated stones on the abdominal radiograph.

The lamination and shapes make them almost worthy of being in a piece of jewelry.

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