Choledocholithiasis

Choledocholithiasis is stones in common bile duct (primary/secondary from gallbladder), causing biliary colic, jaundice, cholangitis, or pancreatitis. Treatment: ERCP with sphincterotomy and stone extraction/stent; antibiotics if cholangitis; laparoscopic cholecystectomy after ERCP to prevent recurrence; intraoperative cholangiography if discovered at surgery; monitor for retained stones/ pancreatitis; follow-up imaging (MRCP/US) if recurrent.

Common Symptoms

Biliary colic; jaundice; by CBD stones; risk of cholangitis/pancreatitis

Causes and Pathogenesis

Stones migrate from gallbladder or form de novo in CBD.

Treatment

ERCP sphincterotomy/extraction; cholecystectomy; antibiotics if cholangitis

Preventive Measures

Early cholecystectomy for gallstones; monitor biliary symptoms.

Department to Visit

It is recommended to visit the Hepatobiliary-surgery/Gastroenterology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.