Dropped gallstones

Case contributed by Dr Chris O'Donnell

Presentation

Persistent right upper quadrant pain following cholecystectomy. CT cholangiogram to exclude choledocholithiasis.

Patient Data

Age: 50
Gender: Female
CT

CT cholangiogram following infusion of 100ml Biliscopin

Multiple large calcified calculi in the right subphrenic and subhepatic spaces.  Normal biliary tree post cholecystectomy without filling defect to indicate choledocholithiasis.

Case Discussion

Dropped gallstones are usually asymptomatic but can cause ongoing right upper quadrant pain and even sepsis.

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Case information

rID: 47256
Case created: 7th Aug 2016
Last edited: 7th Aug 2016
Inclusion in quiz mode: Included

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