Choledocholithiasis and cholecystolithiasis

Case contributed by Dr Ayaz Hidayatov

Presentation

RUQ pain, elevated liver enzymes and chronic jaundice.

Patient Data

Age: 50 years
Gender: Female

Dilatation of the intrahepatic bile ducts and common bile duct (common bile duct 20 mm).

The gallbladder is filled with multiple gallstones.

Multiple filling defects (stones) are seen within intrahepatic bile ducts and common bile duct.

Case Discussion

MRCP has an overall accuracy far superior to CT and US in depicting calculi in the bile ducts.

Endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy is the treatment of choice for choledocholithiasis.

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