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Spontaneous Dissolution Of Gallstones; A Case Report

Ahlberg et al., 1980Other/Unknown

Acta Chirurgica Scandinavica (Suppl 500): 1980; 3-5

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Abstract

Spontaneous dissolution of gallstones is seldom observed. According to present knowledge the maximum spontaneous disappearance rate of radiolucent stones should be less than one percent per year. The present paper reports on the gradual disappearance of multiple gallstones, probably by dissolution, in an elderly woman. Possible contributing factors are discussed.

Case Details

Personal Characteristics

A 76-year-old woman, never been overweight (body weight, 53- 54 kilograms, height 162 centimeters), lost 2-3 kilograms of body weight in the last year

Clinical Characteristics

Frequent episodes of upper abdominal discomfort, postprandial distension and belching, mild attack of biliary colic in 1975

Remission Characteristics

Gradual disappearance of multiple gallstones, probably by dissolution

Treatment & Mechanisms

Proposed Remission Mechanisms

Not discussed

Clinical Treatment

Recommended to eat a low-fat containing diet and avoid egg, fruits and vegetables, treated with antispasmodics in 1975

Additional Notes

She had never taken drugs known to influence the bile lipid composition. Laboratory investigations including routine blood counts, alkaline phosphatases, transaminases, serum cholesterol and triglycerides were normal.