Pearl-White Gallstones Causing Choledocholithiasis

A 71-year-old woman who had previously undergone cholecystectomy several years prior presented with nausea, vomiting, and right upper quadrant abdominal pain. Computed tomography of her abdomen revealed a dilated common bile duct measuring 11 mm in diameter. She underwent endoscopic retrograde cholangiopancreatography (ERCP) for evaluation. A sphincterotomy with balloon extraction revealed several white stones as the cause of her choledocholithiasis (Figure 1). Her symptoms resolved, and she fully recovered to her previous state of health