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CholedocholithiasisAka: Common Bile Duct Stone

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  1. See Also
    1. Cholelithiasis
    2. Biliary Colic
    3. Cholecystitis
  2. Definition
    1. Gallstone in Common Bile Duct
  3. Epidemiology
    1. Occurs in up to 15% of patients with Gallstones
    2. 73% of common bile duct stones pass spontaneously
  4. Signs
    1. Biliary Colic
    2. Cholecystitis
    3. Pancreatitis
  5. Labs
    1. Elevated Liver Function Tests
  6. Imaging: Ultrasound
    1. Common bile duct dilitation >8 mm
  7. Management
    1. Laparoscopic Cholecystectomy and
    2. Common bile duct stone removal
      1. Laparoscopic stone extraction (preferred) or
      2. Intraoperative cholangiography or
        1. Selective postoperative ERCP if stones present
      3. Preoperative ERCP and then Cholecystectomy
  8. References
    1. Urbach (2001) Surg Endosc 15:4

Choledocholithiasis (C0701818)

Definition (MSH)Presence or formation of GALLSTONES in the COMMON BILE DUCT.
ConceptsDisease or Syndrome (T047)
EnglishBile duct calculus, Choledocholithiasis
FrenchLithiase choledocienne
ItalianColedocolitiasi
Spanishcoledocolitiasis
CreditsDerived from the NIH UMLS (Unified Medical Language System)



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