Abstract
A 40-year old woman underwent lumbar spine X-ray due to pain, and a calcified nodule 2.3 cm × 2.2 cm in size was found superimposing the L5 spinous process (Fig. 1). Physical examination disclosed abdominal tenderness near the umbilical region while sitting, and in the right upper quadrant when lying down. Abdominal ultrasonography revealed a gallbladder stone of a similar size to the calcified nodule. Direct abdominal radiography in supine and standing positions revealed a calcified nodule varying in location from L3 to L5 (Fig. 2), therefore the patient was referred for laparoscopic cholecystectomy. At surgery a huge, highly motile gallbladder with a large stone was found, without evidence of torsion. She was discharged two days after surgery without further occurrence of the abdominal pain. Fig. 2Abdominal radiography in supine position. View Large Image Figure Viewer Download Hi-res image
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