Presentation
Incidental finding.
Patient Data
Age: 80 years
Gender: Male
From the case:
Choledocholithiasis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/75666/annotated_viewer_json?_c=1696347104\u0026iframe=true\u0026lang=us"}
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.
From the case:
Choledocholithiasis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/75667/annotated_viewer_json?_c=1696347104\u0026iframe=true\u0026lang=us"}
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.