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Choledocholithiasis
Aka: Choledocholithiasis, Common Bile Duct Stone
- See Also
- Cholelithiasis
- Biliary Colic
- Cholecystitis
- Definition
- Gallstone in Common Bile Duct
- Epidemiology
- Occurs in up to 15% of patients with Gallstones
- 73% of Common Bile Duct Stones pass spontaneously
- Signs
- Biliary Colic
- Cholecystitis
- Pancreatitis
- Labs
- Elevated Liver Function Tests
- Imaging: Ultrasound
- Common bile duct dilitation >8 mm
- Management
- Laparoscopic Cholecystectomy and
- Common Bile Duct Stone removal
- Laparoscopic stone extraction (preferred) or
- Intraoperative cholangiography or
- Selective postoperative ERCP if stones present
- Preoperative ERCP and then Cholecystectomy
- References
- Urbach (2001) Surg Endosc 15:4-13