1. Cholelitiasis X tumor Dr. Carlos Eduardo R Santos CompagnonHepatobiliaire President elect of Brazilian Chapter IHPBA 2011-2012

2. Cholelitiasis X tumor 53y, afro descendent, F, born in Rio de Janeiro, office assistant No family cancer history 1 year fond a cholelitiasis in gynecologic US of 2,4 cm No pain or jaundice history Physical examination Normal Hepatogram Normal www.cirurgiaonline.com.br

3. USG www.cirurgiaonline.com.br

4. USG www.cirurgiaonline.com.br

5. What to Do?

6. Cholangio MR www.cirurgiaonline.com.br

7. Cholangio MR www.cirurgiaonline.com.br

8. What to do?

9. Gallbladder and “Litiasis” www.cirurgiaonline.com.br

10. Mummy of Ascaris www.cirurgiaonline.com.br

11. Thank you very much ! carloseduardo@cirurgiaonline.com.br