Abstract
The silent stone designated for the asymptomatic cholelithiasis is widely used. The asymptomatic stone, in a strict sense is rare, and it seems that in most cases of cholelithiasis an asymptomatic stage appears in natural course. Including these cases of silent stone, we discussed the surgical indications of these with a review of the literature.
More than half of these cases had acute symptoms in their course, especially in the old age group.
The results of the surgery for the gallstone are excellent recently, but the surgical risk in this acute symptoms, especially in the old age group is still high due to the hepatorenal insufficiency and cardiovascular complications.
The most careful attendance is required in the cases of acute symptoms of silent stone, especially in old age group.
