Giant common bile duct stone

Han, Hogyu; Lee, Jin Suk; Song, Tae Jin

doi:10.2478/s11536-011-0102-5

Cited by 3 publications

(4 citation statements)

References 14 publications

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“…Though giant calculus of the gallbladder is common, giant calculus in the CBD is rare [ 5 ]. Only few cases of giant biliary calculus in the CBD measuring 5 cm or more have been published (Table 1 ) [ 2 , 3 , 4 , 5 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 ]. The presence of such a giant calculus without an associated jaundice is rare [ 14 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…Only few cases of giant biliary calculus in the CBD measuring 5 cm or more have been published (Table 1 ) [ 2 , 3 , 4 , 5 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 ]. The presence of such a giant calculus without an associated jaundice is rare [ 14 , 15 ]. Out of a total of 12 cases of giant biliary calculus in the CBD of 5 cm or larger found in the literature, 6 cases had associated jaundice, 5 cases, including our case, had normal bilirubin, and status of jaundice in 2 cases was not available.…”

Section: Discussionmentioning

confidence: 99%

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Giant Calculus with More than 100 Small Calculi in Choledochal Cysts

Bahadur¹,

Thakur

Bains

et al. 2021

Case Rep Gastroenterol

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Giant biliary calculus in the common bile duct (CBD) is rare. Giant calculus of choledochal cyst (CC) is even rarer, and no case of giant calculus of CC with more than 100 calculi has been reported in the indexed literature. We present the case of a 8.0 × 4.5 × 4.0 cm sized giant calculus with >100 small calculi in type IVa CCs with heterotopic pancreas in a 45-year-old male, which is a surprisingly rare occurrence. Magnetic resonance cholangiopancreatography showed multifocal irregular dilatation of intrahepatic biliary radicles with multiple filling defects with a giant calculus in CC with cholelithiasis. The case was successfully managed with open cholecystectomy and choledochotomy with retrieval of 1 giant and more than 100 small calculi with excision of CC with Roux-en-Y hepaticojejunostomy. Histopathological examination (HPE) showed inflamed CC identified with focal areas of surface ulceration with increased fibrosis areas in the wall and few pancreatic acini. A bile duct calculus is defined as “giant” when the size is 5 cm or more. Stone formation within is the most frequent complication of CC. Most intracystic calculi have been described as soft, earthy, and pigmented in appearance, supporting bile stasis as a primary etiologic factor. The only treatment for giant calculus of CBD or CC is surgical. Endoscopic treatment is mostly unsuccessful and open surgery is the treatment of choice due to giant size, increased load of calculus, and presence of calculi in the left and right hepatic ducts.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Giant Calculus with More than 100 Small Calculi in Choledochal Cysts

Bahadur¹,

Thakur

Bains

et al. 2021

Case Rep Gastroenterol

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“…Some patients may remain asymptomatic while others progress to a symptomatic stage. 3 In most cases of choledocholithiasis, a solitary stone is found in the CBD. 2,7 Walter and Snell reported a solitary stone in two thirds of their cases.…”

Section: Discussionmentioning

confidence: 99%

“…1 Some patients may remain asymptomatic while others progress to symptomatic condition with deranged liver function test such as elevated serum gamma glutamyl transpeptidase (GGT) and alkaline phosphatase (ALP). 2,3 The treatment modalities depends upon the site, size and condition of the impacted stone and recurrence has been reported frequently in such cases. 4 The commonest stones which originate in the gall bladder are the infective and cholesterol stones and later they may migrate to the CBD are of secondary bile duct stones (75%) while primary bile duct stones (25%) usually take origin within the bile duct where they enlarge by containing higher proportion of bilirubin form brown pigment type stones.…”

Section: Introductionmentioning

confidence: 99%

Giant staghorn common bile duct calculus: a case report

Bhattarai

Tamrakar

2019

J Chitwan Med Coll

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A bile duct stone is defined as large if it is more than 15mm in size and giant when it is 5cm or more. Giant staghorn calculi are usually uncommon but can be found in oriental cholangio-hepatitis and usually pigment stones. Bile infection appears to be the initial event leading to stone formation. The primary bile duct stones form within the bile ducts and usually of brown pigment type while secondary bile duct stones arise from gall bladder and intra or extra hepatic ducts. There are very few published reports which describe a giant staghorn calculus in the common bile duct (CBD). The purpose of this case report is to report a new rare case of giant staghorn CBD calculus and discuss the diagnostic and surgical approach because staghorn calculi are very rare in the biliary tract.

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Giant Choledocholithiasis With Choledochal Cyst: A Report of a Rare Case

S Kumar,

Khan

et al. 2024

Cureus

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A giant common bile duct (CBD) calculus is a rare occurrence, and the presence of a giant calculus within a choledochal cyst (CDC) is even more unusual. In this case report, we detail an instance of a giant CBD calculus measuring 7 cm x 3 cm found within a CDC, accompanied by multiple tiny calculi. Magnetic resonance cholangiopancreatography (MRCP) revealed the dilation of the bi-lobar intrahepatic biliary radical (IHBR) and the CBD. A large T2 hypointense and T1 hyperintense calculus occupied the dilated CBD and common hepatic duct (CHD), extending into the left hepatic duct (LHD) and right hepatic duct (RHD). There was a possibility of type 1c CDC with cystolithiasis, hepatolithiasis, and cholelithiasis. The patient underwent open cholecystectomy with choledochotomy, stone retrieval, excision of the CDC, and Roux-en-Y hepaticojejunostomy.

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Giant common bile duct stone

Cited by 3 publications

References 14 publications

Giant Calculus with More than 100 Small Calculi in Choledochal Cysts

Giant Calculus with More than 100 Small Calculi in Choledochal Cysts

Giant staghorn common bile duct calculus: a case report

Giant Choledocholithiasis With Choledochal Cyst: A Report of a Rare Case

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