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Wednesday, January 9, 2013

Gallstones

Cholesterol stones - due to cholesterol insolubilization secondary to stasis - cholecystectomy
Pigmented stones
    brown - bacteria (usually E.coli) or parasite infection, composed of calcium bilirubinate, need biliary drainage procedure (sphincteroplasty)
    black - associated with hemolytic disorder, ileal resection, chronic TPN - cholecystectomy

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