Card 22 / 30: A 25 year old man develops severe right upper quadrant abdominal pain that comes on 2 hours after eating several slices of pizza. He has a prior history of diabetes and alcohol abuse. There is a family history of spherocytosis. He develops a high fever and is eventually diagnosed with acute cholecystitis. His gallbladder is removed and the pathologist notes pigment gallstones. Which of the following most likely contributed to this patient’s gallstones?
A) Insulin dependent diabetes
B) Alcohol use
C) Hereditary spherocytosis
D) Male gender
E) Prior need for total parenteral nutrition

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