Choledocholithiasis refers to stones within the hepatic or common bile duct The majority (73%) of these pass into the duodenum without causing complications

 

 

 

Symptomatic choledocholithiasis, especially if complicated by cholangitis, is treated by endoscopic retrograde cholangiopancreatography (ERCP) or if this fails, percutaneous transhepatic biliary drainage 

Acute Cholecystitis, symptomCholelithiasis with choledocholithiasis: The treatment is cholecystectomy with evaluation of the biliary tree and clearance of all stones within the ductal system.

Choledocholithiasis should be suspected in any patient with biliary ductal dilatation seen on imaging, elevated bilirubin levels (conjugated), elevated alkaline phosphatase levels, or elevated amylase and lipase levels. Patients presenting with choledocholithiasis may develop symptoms related to obstruction of the bile duct, pancreatic duct, or both.

 

May result in cholangitis, obstructive jaundice, and pancreatitis .

 

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