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Cholelithiasis

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Alright, cholelithiasis, cholelithiasis,

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is ever present in our population.

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I don't know, 10 to 20% of the US population,

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I would say to a hundred, but it's extremely

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common entity causing lots of problems.

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Probably the reason why general surgery still has

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such a, a large career and is a job security for them.

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So, of gallstones, about 30% are calcified.

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Here's some beautiful gallstones you can see on a KUB.

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Um, but many, many gallstones are not.

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Obviously, 70% are not calcified and

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really can only be seen with ultrasound.

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So here again, we have a beautiful ultrasound

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with those gallstones lined up just like

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the ghost in my mind of Pac-Man, showing

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that beautiful posterior shadowing ready to

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just destroy you as they go down the dock.

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Well, gallstones can cause you

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problems in so many locations.

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It's all about real estate,

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location, location, location.

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And we're going to go through and see many different ways

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in which gallstones can cause you problems, whether

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they're causing obstruction to the gallbladder,

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whether they're in the common bile duct itself, causing

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intrahepatic dilatation or down at the level of the

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duodenal papilla, causing maybe pancreatitis as well.

Report

Faculty

Laura L Avery, MD

Assistant Professor of Emergency Radiology Harvard Medical School

Massachusetts General Hosptial

Tags

Ultrasound

Gastrointestinal (GI)

Gallbladder

Emergency

Body

Acquired/Developmental

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