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 calculus within the common bile duct and another calculus within the lumen of the collapsed gallbladder. These findings were also confirmed on MRCP done afterwards. Diagnosis/ Discussion/ Treatment/ Follow up The patient had ERCP and cholecystectomy. Sonograms 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 A 10 mm immoble calculus at the neck of the nearly empty gallbladder Published on: August 20, 2024
