Introduction

Gallstone disease is a common gastrointestinal disorder, with a prevalence varying by geographic and demographic factors. Most patients have a single stone or a small number of calculi. The occurrence of a gallbladder containing an exceptionally high number of stones is rare and worth reporting.

Case presentation

A 45-year-old female presented with symptomatic gallstones. Routine imaging suggested cholelithiasis. The patient underwent cholecystectomy at the National Hospital in Raqqa, Syria. Upon removal, the gallbladder was opened and found to contain more than 90 distinct stones of varying sizes. No intraoperative or postoperative complications were.

Discussion

While gallstones are common, most patients have between one and a few stones. The documentation of more than 90 stones in a single gallbladder is highly unusual. Literature indicates that multiple stones are associated with chronic cholecystitis and may reflect longstanding disease progression. Reporting such cases contributes to the collective surgical knowledge and may help in understanding the natural history of gallstone formation.

Conclusion

This case demonstrates an exceptionally high number of gallstones in a single gallbladder. Such rare findings highlight the importance of careful documentation and reporting in surgical practice.