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What is Hemolytic anemia is associated with the following gall stones: and explain in detail?
Ans. (a) PigmentedRef: Harrison 19th ed. 12078* Pigmented gall stones have composition of Calcium Bilirubinate and are seen in hemolytic anemia like hereditary spherocytosis, sickle cell anemia.* The pigment stones are themselves of 2 types.Black and brown pigment gallstones.* Black and brown pigment gallstones are morphologically, compositionally, and clinically distinct. Black stones form primarily in the gallbladder in sterile bile* Brown stones form not only within the gallbladder but also within the intrahepatic and extrahepatic ducts