Giant common bile duct stone

Open Medicine ◽  
2012 ◽  
Vol 7 (1) ◽  
pp. 59-62
Author(s):  
Hyung Han ◽  
Jin Lee ◽  
Tae Song
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stone ◽  
Bile Duct Stone ◽  
Acute Cholangitis ◽  
Common Bile Duct Stones ◽  
Normal Liver ◽  
Liver Function Tests ◽  
Bile Duct Stones ◽  
Large Size

AbstractBile duct stones, which obstruct the common bile duct, potentially result in complications, such as acute cholangitis and pancreatitis. We present a case involving a patient with normal liver function tests from whom we removed a giant common bile duct stone measuring 7.5 centimeters × 4.0 centimeters × 4.0 centimeters. Postoperatively recurrent common bile duct stones were observed and removed with an endoscopic maneuver in the three-year follow-up period. Recurrent bile duct stones are frequently reported in the case of large size of stones or multiple stones. Surgical treatment may then be considered as a first-line treatment in cases of recurrent common bile duct stones. When an endoscopic or surgical approach is used for the treatment of giant common bile duct stones, careful observation is of the utmost importance and treatment innovations may be necessary.

scholarly journals Presence of choledocholithiasis in patients undergoing cholecystectomy for mild biliary pancreatitis

2016 ◽  
Vol 15 (4) ◽  
pp. 517-521
Author(s):  
Sumita Pradhan ◽  
JN Shah
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stone ◽  
Bile Duct Stone ◽  
Medical Science ◽  
Common Bile Duct Stones ◽  
Biliary Pancreatitis ◽  
Bile Duct Stones ◽  
Acute Biliary Pancreatitis ◽  
The Common

Background: Standard recommendations for patients recovering from an episode of biliary pancreatitis include cholecystectomy with intra operative cholangiogram or ERCP during the same hospital admission as it is believed that the instigating factor is the passage of stones through the common bile duct. As ERCP is not widely available and expensive, cholecystectomy with IOC is routinely performed to rule out choledocholithiasis. However detection of common bile duct stones is challenging. Whether these patients undergoing cholecystectomy require direct common bile duct evaluation is controversial.Objectives: To see the presence of common bile duct stones in patients with resolving acute mild biliary pancreatitis.Materials and Methods: Patients admitted in the surgical ward in Patan and Bir hospital with the diagnosis of mild acute biliary pancreatitis that underwent cholecystectomy with intra operative cholangiography from August 2010 to July 2011 were studied. The outcome of cholangiogram was analyzed together with findings of Common bile duct exploration.Result and Conclusion: A total of 52 patients with acute mild biliary pancreatitis were operated during this period. The Common bile duct stone was found in 1.9%. Out of four patients with abnormal cholangiogram, only one patient (25%) had stone on exploration, rest of the three cases (75%) had negative exploration. The presence of common bile duct stone in case of mild acute biliary pancreatitis undergoing cholecystectomy is very low (1.96%), and thus policy of selective IOC should be applied for cases with mild biliary pancreatitis.Bangladesh Journal of Medical Science Vol.15(4) 2016 p.517-521

scholarly journals Presence of choledocholithiasis in patients undergoing cholecystectomy for mild biliary pancreatitis

2016 ◽  
Vol 17 (1) ◽  
pp. 11-15
Author(s):  
S Pradhan ◽  
S Shah ◽  
S Maharjan ◽  
JN Shah
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stone ◽  
Bile Duct Stone ◽  
Common Bile Duct Stones ◽  
Common Bile Duct Exploration ◽  
Biliary Pancreatitis ◽  
Bile Duct Stones ◽  
Acute Biliary Pancreatitis ◽  
The Common

Introduction: Standard recommendations for patients recovering from an episode of biliary pancreatitis include cholecystectomy with intra operative cholangiogram or ERCP during the same hospital admission as it is believed that the instigating factor is the passage of stones through the common bile duct. As ERCP is not widely available and expensive, cholecystectomy with IOC is routinely performed to rule out choledocholithiasis. However detection of common bile duct stones is challenging. Whether these patients undergoing cholecystectomy require direct common bile duct evaluation is controversial. Objective of the study was to see the presence of common bile duct stones in patients with resolving acute mild biliary pancreatitis. Methods: Patients admitted in the surgical ward in Patan Hospital and Bir Hospital with the diagnosis of mild acute biliary pancreatitis who underwent cholecystectomy with intra-operative cholangiography from August 2010 to July 2012 were studied. The outcome of cholangiogram was analyzed together with findings of common bile duct exploration. Results: A total of 52 patients with acute mild biliary pancreatitis were operated during this period. The common bile duct stone was found in 1.9%.  Out of four patients with abnormal cholangiogram, only one patient (25%) had stone on exploration, rest of the three cases (75%) had negative exploration.Conclusion: The presence of common bile duct stone in case of mild acute biliary pancreatitis undergoing cholecystectomy is very low (1.96%), and thus policy of selective IOC should be applied for cases with mild biliary pancreatitis.Journal of Society of Surgeons of Nepal Vol.17(1) 2014: 11-15

scholarly journals Feasibility of initial endoscopic common bile duct stone removal in patients with acute cholangitis

2017 ◽  
Vol 5 (7) ◽  
pp. 280 ◽  
Author(s):  
Akira Yamamiya ◽  
Katsuya Kitamura ◽  
Yu Ishii ◽  
Yuta Mitsui ◽  
Tomohiro Nomoto ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stone ◽  
Bile Duct Stone ◽  
Acute Cholangitis ◽  
Stone Removal

RESULTS OF ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY COMBINED WITH SPHINCTEROTOMY IN TREATMENT OF COMMON BILE DUCT STONES

2015 ◽  
pp. 70-76
Author(s):  
Khanh Vinh ◽  
Van Huy Tran ◽  
Dinh Hy Trinh
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Common Bile Duct Stone ◽  
Bile Duct Stone ◽  
Common Bile Duct Stones ◽  
Influential Factors ◽  
Influential Factor ◽  
Endoscopic Retrograde ◽  
Cross Sectional

Background: Common bile duct stone is the popular disease which leads to more severe complication. Endoscopic retrograde cholangiopancreatography is a useful therapy in treatment of common bile duct stone. However, the success of this therapy must depend on several specific impacts including the number of stones, stone diameter, diverticulum and endoscopist. Thus, we have performed this research on two major purposes: 1) to evaluate the results and complication of ERCP in treatment of common bile duct stone; and 2) to determine the influential factors causing failure of this therapy. Patients/Research methods: A total of 64 patients are involved in the treatment at the gastrointestinal endoscopic center. Methods: A cross - sectional study. Result: CBD stone with size from 10 – 20mm makes up the highest proportion of 76.7%. A single stone makes up for the large proportion at 68.7%. The successful rate of CBD is 89.1%. The rate of complication is 10.9%. The influential factor for failure of ERCP: The patients undergoing operation have diverticulum and large stone. Conclusion: ERCP is an effective and safe therapy for treatment CDB stone. Key words: Common bile duct stone, endoscopic retrograde cholangiopancreatography.

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