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Pathophysiology

Predisposing factors Precipitating Factors


- Genetics - Faulty diet

Liver cells secrete cholesterol


into bile along with phospholipids
in the form of unilamellar vesicles

Residue
of
vesicles

Some of the
unilamellar
vesicles dissolve
Formation of mixed micells

The cholesterol carrying capacity of


the micelles and residual vesicles is
exceed

Bile is supersaturated
with cholesterol

Formation of crystas
Nucleation of cholesterol crystals

Cholesterol gallstone

CHOLELITHIASIS

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