scholarly journals The Accuracy of Transabdominal Ultrasound in Detection of the Common Bile Duct Stone as Compared to Endoscopic Retrograde Cholangiopancreatography (with Literature Review)

2016 ◽  
Vol 06 (10) ◽  
pp. 275-299 ◽  
Author(s):  
Taha Ahmed M. Alkarboly ◽  
Salah Mohamad Fatih ◽  
Hiwa Abubaker Hussein ◽  
Talar M. Ali ◽  
Heero Ismael Faraj
2015 ◽  
pp. 70-76
Author(s):  
Khanh Vinh ◽  
Van Huy Tran ◽  
Dinh Hy Trinh

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.


2018 ◽  
Vol 2018 ◽  
pp. 1-2 ◽  
Author(s):  
Anas M. Hussameddin ◽  
Iba Ibrahim AlFawaz ◽  
Reema Fahad AlOtaibi

Surgical clip migration into the common bile duct with subsequent stone formation is a rare complication following laparoscopic cholecystectomy. Very few cases have been reported in the literature. We report a case of bile duct stone formation around a migrated surgical clip 16 years after laparoscopic cholecystectomy. The patient presented with right upper quadrant pain, fever, and chills for one week. Investigation with abdominal ultrasound showed dilatation of the common bile duct and moderate dilatation of the intrahepatic bile ducts. The diagnosis was confirmed by endoscopic retrograde cholangiopancreatography and the patient was managed successfully with sphincterotomy and stone extraction. The exact mechanism of clip migration is not fully understood. Presenting symptoms are similar to non-clip-induced choledocholithiasis. Time of presentation can vary significantly with an average of 26 months. Most cases reported in the literature required surgical intervention. Clip migration should be considered in the differential diagnosis of postcholecystectomy biliary colic and cholangitis. Management with endoscopic retrograde cholangiopancreatography is the treatment of choice.


Author(s):  
Thirugnanasambandam Nelson ◽  
AmudaRavichandar Pranavi ◽  
Sathasivam Sureshkumar ◽  
GubbiShamanna Sreenath ◽  
Ananthakrishnan Ramesh ◽  
...  

Long standing biliary stent for biliary stricture may have complications like cholangitis, cholecystitis, stent fracture and stent migration. Treatment includes re-do endoscopic retrograde cholangiopancreatography, removal of fractured stent and restenting. Authors report a case of fractured biliary stent mimicking as distal common bile duct stone. Patient presented with features of cholangitis with history of endoscopic stenting 6 years back but lost follow up thereafter. Ultrasound showed 2cm calculus in distal common bile duct and the stent was seen on endoscopy through the papilla in the duodenum. Contrast enhanced computed tomography of abdomen showed radio opaque dense shadow in the distal common bile duct suggesting possibility of broken biliary stent. Redo endoscopic retrograde cholangiopancreatography failed to remove the fractured stent. A new stent was placed without complications. Patient underwent open common bile duct exploration and the fractured stent was removed. Patient recovered completely after the procedure.


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