Choledocholithiasis

Case contributed by Dr J. Ray Ballinger

Presentation

Incidental finding during a workup for hematuria.

Patient Data

Age: 73 years
Gender: Female
Modality: MRI

MR cholangiogram shows two filling defects in the distal common bile duct and one in the gallbladder. The common bile duct is prominent.

Case Discussion

Common bile duct stones can occur when a stone in the gall bladder passes through the cystic duct and tries to pass through the common bile duct. They can also form in situ within the bile ducts and so may be seen after surgical removal of the gall bladder.

Small stones in the common duct can be removed endoscopically with a sphincterotomy or percutaneously with a basket and/or balloon. Large ones may require lithotripsy or surgical removal.

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Case Information

rID: 23663
Case created: 1st Jul 2013
Last edited: 9th Dec 2015
Inclusion in quiz mode: Included

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