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Pigment Gallstones - Epidemiology: Pigment gallstones are much more common in Asia and Africa. In the US, they make up only 20% to 25% of gallstones, of which the majority are black pigment gallstones (shown here) and the remainder are brown pigment gallstones. Like cholesterol gallstones, they develop more frequently in women and with advancing age.

Image 38 of 73