Choledocholithiasis

Case contributed by Dr David Holcdorf

Presentation

Sudden onset epigastric pain. Elevated transaminases and bilirubin.

Patient Data

Age: 80 years old
Gender: Female
Modality: CT

The gallbladder appears mildly distended, and the common hepatic and common bile duct diameter are at the upper limit of normal. There is a calcific focus measuring 3mm in the distal common bile duct at the level of the pancreatic head. No further gallstones are identified in the gallbladder. Pancreas appears unremarkable, with no peripancreatic fat stranding seen.

Conclusion:

Findings are in keeping with choledocholithiasis.

Case Discussion

Choledochlithiasis is a relatively common presentation, and occurs when a gallstone becomes lodged in the extrahepatic bile ducts causing obstruction resulting in pain and abnormal liver function tests.

PlayAdd to Share

Case Information

rID: 45079
Case created: 13th May 2016
Last edited: 3rd Aug 2016
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

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

Alert accept Thank you for updating your details.