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The definitive pathological examination of the gallbladder showed: multiple stones of cholesterol origin; diffuse mucosal adenomyomatosis; and a 1.1 cm pedunculated mass localized at the fundus, whose surface was lumpy.
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"We liked the idea of two stones instead of one and spent a long time looking at rings with multiple stones for inspiration," Ratajkowski said.
Our results suggest that EST + EPLBD decreases the frequency of ML use for large or multiple stones, decreasing the number of remnant stone fragments that cannot be confirmed with endoscopic retrograde cholangiography.
Patients presenting with renal colic in Qatar were younger and had a higher frequency of multiple stones.
The HGH-ED population had a higher incidence of multiple stones (28.3%) compared to The Alfred ED group (15.6%, P < 0.001) as detected on the CT examination (Table 2).
The ERCP illustrated multiple stones, the prominent one of which was a 2.5-cm mass.
For patients with multiple stones identified on imaging, the location of the lowest obstructing stone was recorded.
She had renal impairment (eGFR 32 ml/mimaging m), imaging which demonstrated multiple stones bilaterally, and a long history of sicca symptoms with systemic upset.
Kim et al. [ 16] attributed failure of complete stone removal in the first session to the presence of large and/or multiple stones.
At diagnosis, urography showed atrophy of the right kidney and multiple stones in the left one.
The NECT group had a higher proportion of renal stones, mid ureteral stones, and multiple stones than the IVU group (20.9% versus 13.8%, p < 0.001; 5.5% versus 2.7%, p < 0.001; and 14.6% versus 6.5%, p < 0.001, resp).; however, the proportion of distal ureteral stones was lower in the NECT group than in the IVU group (39.2% versus 49.1%, p < 0.001).
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