Stones in common bile duct (CBD)
Several types: cholesterol (majority), calcium bilirubinate or pigment, and mixed stones
System(s) affected: gastrointestinal; hepatobiliary
Synonym(s):...
Asymptomatic (30–50%)
Right upper quadrant (RUQ) pain:
Moderate/intense spasmodic pain, often intermittent, transient, recurrent (biliary colic)
May radiate to right shoulder/back, not r...
Initiate broad-spectrum antibioti...
Serial liver function tests and bilirubin levels, W...
Bosley ME, Zamora IJ, Neff LP. Choledocholithiasis—a new clinical pathway. Transl Gastroenterol Hepatol. 2021;6:35. doi: 10.21037/tgh-20-172.
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Cholangitis, Acute; Cholecystitis; Cholelithiasis
Algorithm: Hyperbilirubinemia and Jaundice
K80.50 Calculus of bile duct w/o cholangitis or cholecyst w/o obst
K80.51 Calculus of bile duct w/o cholangitis or cholecyst w obst
K80.40 Calculus of bile duct w cholecystitis, unsp, w/o obs...
Stones in the CBD are either primary (originate within the CBD) or secondary (migrate from the gallbladder).
Risk factors include female gender, age, obesity and rapid weight loss, chro...
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FIG. 2.34. Choledocholithiasis. Coronal thick slab MRCP demonstrates distal common bile duct stone (<italic>arrow</bold>).
FIG. 3.151. Choledocholithiasis. Small stone is present in distal common bile duct (<italic>arrow</bold>) on axial HASTE image.
FIG. 3.151. Choledocholithiasis. Small stone is present in distal common bile duct (<italic>arrow</bold>) on axial HASTE image...