Case contributed by Dr J. Ray Ballinger


Incidental finding during a workup for hematuria.

Patient Data

Age: 75 years
Gender: Female

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 gallbladder 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 gallbladder.

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.

PlayAdd to Share

Case information

rID: 23663
Published: 1st Jul 2013
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.