A middle aged woman was investigated for recurrent bouts of epigastric pain. Endoscopy failed to reveal any peptic ulceration. An oral cholangiogram demonstrated a non-functioning gall bladder. She died from a myocardial infarction not related to her epigastric pain.
The specimen is a portion of liver with attached gall bladder which has been opened to display six large faceted mixed calculi. This is an example of cholelithiasis.