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MRI RESULTS:

1. Dilated cystic side branches in directcommunication with pancreatic duct in theregion of uncinate process for which an IPMTshould be excluded

2. Multiple gallstones

3. Left renal cysts with wall calcifications

4. Tiny right renal corticocysts

5. Ascending and descending diverticula

PRECIPITATING FACTORS:Diet

ObesityRapid weight loss

Use of oral contraceptivesGallbladder, pancreatic or ileal disease

Low HDL cholesterol levelHypertriglyceridemia

CHOLELITHIASIS

Gallstones in the Bile duct

Increased Bile Cholesterol

Irritation of Gallbladdermucosa

Surface Changes

Increased Mucus Secretion

Impaired Gallbladderemptying

Precipitate out of the bile

Forms small crystals intoGallbladders mucosal surface

Enlarges to grossly visible stones

Several stones develop

PREDISPOSING FACTORS:Family History

FemaleMiddle age

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Distension IntraductalPressure

RUQPain

BiliaryColic

Injury

ObstructionContractile

function

AnorexNauseVomit

Weight lFlatulenDiarrh

Fatintolera

Bileaccumulates

in Liver

IncreaseSerum

Bilirubin

Prorates/Tea-collared

UrineJaundice BiliaryCirrhosis

Bile Stasis

AbnormalFat

Digestion

I

Inflammation ofGallbladder

Cholecystitis