Choledocholithiasis

Case contributed by Huda B. Gharbia
Diagnosis almost certain

Presentation

Upper abdominal pain

Patient Data

Age: 60 years
Gender: Female
mri

Diffuse dilatation of intrahepatic biliary radicles, more on left side, with multiple hypointense filling defects/stones.

Multiple stones in extrahepatic biliary tree: common hepatic duct (CHD) and common bile duct (CBD), and at its terminal end.

Gallbladder: distended with multiple hypointense filling defects/stones in it (cholelithiasis), and in cystic duct.

Case Discussion

Multiple stones in gall bladder and biliary tree, choledocholithiasis, cause proximal dilatation of biliary tree.

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