Multiple Biliary Calculi Clinical History A 76-year old man presented with abdominal pain, vomiting, and jaundice. His blood test showed raised infection markers and deranged LFTs. Abdominal ultrasound was requested as the first line of imaging. Case Description Ultrasound revealed multiple large calculi within the lumen of the dilated common bile duct (multiple biliary calculi) measuring 12 mm in AP dimension. The gallbladder was thick-walled and contained some tiny calculi within its lumen. Diagnosis/ Discussion/ Treatment/ Follow up The patient had magnetic resonance cholangiopancreaticography (MRCP) which confirmed the ultrasound findings. Sonograms Thick-walled gallbladder Axial sonogram of the thick-walled gallbladder Dilated common bile duct containing multiple oval-shaped echogenic structures Dilated common bile duct containing multiple oval-shaped echogenic structures MRCP; coronal image showing the dilated CBD containing multiple filling-defects Multiple oval-shaped structures within the lumen of the CBD Published on: October 9, 2024
