Abstract
The case is a 74 year-old male with a history of shrapnel in his back during World War II, 50 years ago. This was diagnosed by X-P as a foreign body in the abdomen but left it untreated because of the absence of symptoms. With epigastric pain as the chief complaint, he was seen at the Department of Internal Medicine of this hospital. Diagnosed as having malignant lymphoma of the stomach by endoscopic examination of the stomach and biopsy, he was referred to this department for surgery. Subtotal gastrectomy and cholecystectomy were performed and shrapnel pieces were found to form the nucleus of the stone. Reports of cholelithiasis with a foreign body as the nucleus are few. Cholelithiasis with shrapnel as the nucleus, as in our case, is considered rare, so we report our findings together with a review of the literature.
