A case of cholelithiasis with 3 gall stones...

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What we advice you ?

the presence of gall bladder stones need surgical removal by laproscope to prevent complication after while 

How to treat it ?

1.ESWEL destroy it by special waves
2.ursodeoxycholic acid 3 times daily 
3.surgical removal 
4.laproscopic removal 

What are the investigations?

 
1.abdominal ultrasound and to look for intra or extra hepatic duct dilatation 
2.ERCP 
3.MRCP 

What are  the signs and symptoms ?

1.right upper quadrant pain especially after fatty food 
2.vomiting
3.nausea
4.jaundice 
5.if it's inflamed it cause sever pain vomiting and feverish and must be removal as an emergency case