Presentation
Persistent right upper quadrant pain following cholecystectomy. CT cholangiogram to exclude choledocholithiasis.
Patient Data
Age: 50
Gender: Female
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CT cholangiogram following infusion of 100ml Biliscopin
Multiple large calcified calculi in the right subphrenic and subhepatic spaces. Normal biliary tree post cholecystectomy without filling defect to indicate choledocholithiasis.
Case Discussion
Dropped gallstones are usually asymptomatic but can cause ongoing right upper quadrant pain and even sepsis.
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