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Black Pigment Gallstones : Appearance

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Black Gallstones - Appearance: They are small, usually 0.2 to 0.5 cm, and rarely > 1.5 cm in size. They often occur in large numbers. They are shiny dark green to black in color. They have mulberry-like (as shown here) or irregular shape with spiculated or molded contours, hard consistency, and are difficult to crush between thumb and index finger, unlike the brown pigment stones.

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