PMC7306528_01
Axial (a) and coronal (b) abdominal/pelvic CT images showing large calcified gallstone in gallbladder.
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The remainder of the abdomen and pelvis were subsequently imaged (Fig. 1).
Ex-vivo photograph of 7.5 cm gallstone outside of gallbladder (a) and cut gallstone, with fragments (b).
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The calculus measured 7.5 cm in its greatest dimension (Fig. 2a). The stone was cut longitudinally (Fig. 2b) but as it was brittle, it fractured into numerous pieces.
Chronic cholecystitis with mucosal dips, forming Rokitansky-Aschoff sinus with muscular hypertrophy and fibrosis, and minimal chronic inflammation (a). Mild mucosal hyperplasia with surface epithelial denudation and muscle hypertrophy and fibrosis (b).
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Final pathology revealed a gallbladder wall measuring up to 0.1 cm in thickness with features of chronic cholecystitis (Fig. 3a/b).