Choledocholithiasis

Case contributed by Dr Vitalii Rogalskyi

Presentation

Incidental finding.

Patient Data

Age: 80 years
Gender: Male

NECT of the abdomen demonstrates a lot of hyperdense stones within the common bile duct, one calculi within right hepatic duct and several stones within left hepatic duct. Dilatation of bile duct tree. 

Gastrojejunostomy after Billroth II gastric resection noted.

Radiopaque gallstones within the common bile duct (red arrows), within right/left hepatic ducts (green arrows).

Case Discussion

It is rare case of marked choledocholithiasis and absense of clinical symptoms. Also, gallstones noted within hepatic ducts.

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