These gallstones caused the gallbladder to become gangrenous. Fortunately, it could be removed. The gangrene was most likely caused by the impaiment or total occlusion of bloodflow secondary to the size and quantity of the stones.
This is an older photo, when clear plastic rulers cost only 5 cents. Pathologists can still buy much of their equipment at the hardware store.
Most people have heard of the "F"'s for gallstone disease, though of course most anybody can get gallstones.
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