ARTICLE AUTHORS REFERENCES picture_as_pdf Download facebook bluesky linkedin email Topics History and humanities A 35-year-old woman presented with symptoms suggestive of gallstones. These were confirmed on a computed tomography cholangiogram (see picture), the contrast clearly defining their outline. However, their unique "jack-o'-lantern" configuration also serves as a seasonal reminder that, like the present-day association with Halloween, the word "gall" derives from an Old English word meaning "something unpleasant to experience"! View this article on Wiley Online Library Andrew D Wills1 The Porter's Lodge, Radcliffe Infirmary, Oxford, UK. Correspondence: awillsy@hotmail.com Online responses are no longer available. Please refer to our instructions for authors page for more information.