Presentation
Right upper quadrant pain and vomiting for 2 days.
Patient Data
Age: 65 years
Gender: Female
From the case:
Cystic duct calculus
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A tiny calculus ( 2 - 2.5 mm ) is seen in distal end of cystic duct. Hepatic duct and common bile duct are not dilated.
Gall bladder shows overdistension ( 12.5 cm long axis ).
No calculi in gall bladder.
Case Discussion
Findings favor cystic duct calculus (2-2.5 mm ) with gall bladder overdistension.