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Choledocholithiasis



Choledocholithiasis
Classification & external resources
Common bile duct stone impacted at ampulla of Vater seen at time of ERCP
ICD-10 K80.5
ICD-9 574.3
DiseasesDB 33385
MedlinePlus 000274
eMedicine med/350 

  Choledocholithiasis is the presence of gallstones in the common bile duct. This condition causes jaundice and liver cell damage, and is a medical emergency, requiring the endoscopic retrograde cholangiopancreatography (ERCP) procedure or surgical treatment.

A tendency for this disease can be inherited.

Additional recommended knowledge

Contents

Cause

While stones can frequently pass through the common bile duct into the duodenum, some stones may be too large to passthrough the CBD and will cause an obstruction.NCM105

Complications

This obstruction leads to jaundice, elevation in alkaline phosphatase, increase in conjugated bilirubin in the blood and increase in cholesterol in the blood. It can also cause acute pancreatitis and ascending cholangitis.

Diagnosis

  Doctors can use a blood test of alkaline phosphatase, bilirubin and cholesterol to diagnose choledocholithiasis.

However, ultrasound demonstrating an enlarged common bile duct is the test of choice.

Treatment

Treatment involves removing the stone using ERCP. Typically, the gallbladder is then removed to prevent a future occurrence of common bile duct obstruction.


 
This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Choledocholithiasis". A list of authors is available in Wikipedia.
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