cholecystolithiasis

The patient had a five year history of cholecystolithiasis.

It could be argued that in the patients with cholecystolithiasis the calculi had passed from the gall bladder into the bile ducts.

This confirmed intra and extrahepatic duct dilatation in 31 patients (77%), cholecystolithiasis in 19 of the 32 patients (60%) in whom the gall bladder was in place.

Finally, the presence of multiple intrahepatic calculi is not typical of the pattern of biliary calculi seen after cholecystectomy for cholecystolithiasis in patients without primary sclerosing cholangitis.

Further evidence against this is the finding that the occurrence of choledocholithiasis was much higher in patients in group A who underwent cholecystectomy (16/23: 70%) than is generally seen in association with cholecystolithiasis.

Increased bile lithogenicity is suggested by the significantly higher frequency of cholecystolithiasis in the patients with bile duct stones (57%), which contrasts with the reported prevalence of 10-20% in developed countries.