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Updated on September 5, 2024
Acute Choledocholithiasis

Calculus Within the Common Bile Duct Causing Biliary Obstruction

Clinical History

A 49-year old man presented with abdominal pain.

Case Description

An abdominal ultrasound was done using a 2 – 5 MHz curvilinear transducer. This revealed multiple calculi within the common bile duct and another calculus within the lumen of the collapsed gallbladder. These findings were also confirmed on MRCP done afterwards. 

Treatment

The patient had ERCP and cholecystectomy.

Sonogram of the pancreas showing the head, body, and uncinate process of the pancreas. The pancreatic tail is partly obscured by bowel gas shadowing. A short segment of the left hepatic lobe and duodenum are displayed anterior to the pancreas. No pancreatic duct dilatation
Sonogram of the pancreas showing the head, body, and uncinate process of the pancreas. The pancreatic tail is partly obscured by bowel gas shadowing. A short segment of the left hepatic lobe and duodenum are displayed anterior to the pancreas. No pancreatic duct dilatation
An obstructive calculus in the common bile duct. The calculus measures 11 mm and the common bile duct measures 10 mm in AP calibre
An obstructive calculus in the common bile duct. The calculus measures 11 mm and the common bile duct measures 10 mm in AP calibre
A 10 mm immoble calculus at the neck of the nearly empty gallbladder
A 10 mm immoble calculus at the neck of the nearly empty gallbladder

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Calculus Within the Common Bile Duct Causing Biliary Obstruction

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