Mulberry calculus refers to a medical condition characterized by the formation of hard masses known as calculi or stones within the gallbladder or biliary tract. The term "mulberry" is used to describe the appearance of these calculi, as they resemble small, berry-like clusters.
This condition typically arises due to the build-up of cholesterol, calcium salts, and other substances in the gallbladder or biliary system. These materials gradually solidify over time, forming the mulberry calculi. These calculi can vary in size but are typically small, ranging from a few millimeters to a centimeter in diameter.
The presence of mulberry calculi can lead to several complications and symptoms, including abdominal pain, particularly in the right upper quadrant, often triggered by the consumption of fatty or greasy foods. Other symptoms may include nausea, vomiting, bloating, indigestion, and yellowing of the skin and eyes (jaundice) if the calculi obstruct the bile ducts. In some cases, the obstruction can result in inflammation of the gallbladder (cholecystitis) or severe infection (choledocholithiasis).
The treatment of mulberry calculus typically involves the removal of the gallbladder through a surgical procedure known as cholecystectomy. This procedure may be performed laparoscopically or as an open surgery, depending on the individual case. Cholecystectomy is generally considered a safe and effective treatment option, as the gallbladder is not essential for survival, and its removal typically alleviates the symptoms associated with mulberry calculus. Additionally, dietary modifications may be recommended to prevent the formation of new calculi.
