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Abstract In this study the aetiology of gallstones has been The various [nodes of presentation of gallstones, e methods of investigations as well as the different lines treatment have been reviewed • ’I’he use and accuracy of ultrasound examination in etection of cholelithiasis and biliary tract disease has discussed • ’I’h e place an d ’ sensitivity of 99mTc biliary scinti¬in detecting biliary tract disease and especially cholecystitis is described • The value of ERCP and })TC in detecting the level of obstruction in cholestatic jaundice is mentioned g ’rhe etiology and management of hepatorenal syndrome is reviewed • ’I’h e management of acute and ctronic cholecystitis, acute suppurative chelangitifl and. gallstone pancreatiti" ~ "3 iB discussed • ’rhe etiology, presentation and management of intra- hepatic lithiasis is reviewed • |