Choledocholithiasis: Difference between revisions
(Created page with "'''Choledocholithiasis''' is a form of complicated gallstone disease characterised by a gallstone stuck in the common bile duct. It causes cholestasis, and may lead to cholangitis, a severe bacterial infection or acute biliary pancreatitis. == Clinical features == Patients presents with biliary colic-like pain, but choledocholithiasis pain usually lasts longer. Jaundice may be present. == Diagnosis and evaluation == Laborator...") |
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== Treatment == | == Treatment == | ||
Removal of the obstruction, usually by ERCP, is indicated. Cholecystectomy is indicated to prevent future occurances. | Removal of the obstruction, usually by ERCP, is indicated. [[Cholecystectomy]] is indicated to prevent future occurances. | ||
[[Category:Gastroenterology]] | |||
[[Category:Gastrointestinal surgery]] | <noinclude>[[Category:Gastroenterology]] | ||
[[Category:Gastrointestinal surgery]]</noinclude> | |||
Latest revision as of 19:35, 8 November 2023
Choledocholithiasis is a form of complicated gallstone disease characterised by a gallstone stuck in the common bile duct. It causes cholestasis, and may lead to cholangitis, a severe bacterial infection or acute biliary pancreatitis.
Clinical features
Patients presents with biliary colic-like pain, but choledocholithiasis pain usually lasts longer. Jaundice may be present.
Diagnosis and evaluation
Laboratory investigations show signs of cholestasis, including hyperbilirubinaemia and elevated ALP/GGT. Unlike in cholangitis, there are no laboratory signs of inflammation.
Imaging, usually ultrasound, is indicated to visualise the obstruction.
Treatment
Removal of the obstruction, usually by ERCP, is indicated. Cholecystectomy is indicated to prevent future occurances.