Giant staghorn common bile duct calculus

Hajong, Ranendra; Topno, Noor; Baruah, Arup Jyoti; Khongwar, Donkupar

doi:10.1007/s12664-012-0179-z

Cited by 4 publications

(7 citation statements)

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“…A bile duct calculus is defined as giant if it is 5 cm or more in size [2][3][4]. Though giant calculus of the gallbladder is common, giant calculus in the CBD is rare [5].…”

Section: Discussionmentioning

confidence: 99%

“…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%

“…Cystolithiasis and cholecystolithiasis are the most frequent conditions occurring in 70% of adults with choledochal cysts (CCs) [1]. A bile duct calculus is defined as "large" if it is more than 1.5 cm in size and as "giant" when it is 5 cm or more in size [2][3][4]. Though giant calculus of the gallbladder is common, giant calculus in the common bile duct (CBD) is rare [5].…”

Section: Introductionmentioning

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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“…A bile duct calculus is defined as giant if it is 5 cm or more in size [2][3][4]. Though giant calculus of the gallbladder is common, giant calculus in the CBD is rare [5].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Giant Calculus with More than 100 Small Calculi in Choledochal Cysts

Bahadur¹,

Thakur

Bains

et al. 2021

Case Rep Gastroenterol

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“…Endoscopic treatment is often unsuccessful because of the calculus size and the only treatment is always surgical. 6…”

Section: Discussionmentioning

confidence: 99%

“…Stones in bile duct are considered as large if they are more than 15mm in size and giant if they are 5cm or more. 1,5,6 We are presenting a case in whom we removed a giant staghorn calculus from the CBD measuring 9cm×3cm.…”

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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Successful endoscopic treatment of giant multiple choledocholithiasis using oral transpapillary cholangioscopy and intraductal contact lithotripsy

et al. 2023

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Êëèíè÷åñêîå íàáëþäåíèå / Case reportПредставлено клиническое наблюдение успешного этапного эндоскопического лечения при гигантском множественном холедохолитиазе. Традиционное хирургическое вмешательство было противопоказано пациентке ввиду выраженных сопутствующих заболеваний и большого анестезиологического риска. Базовым методом мини-инвазивного лечения была контактная литотрипсия, дополненная баллонной дилатацией зоны эндоскопической папиллосфинктеротомии и механической внутрипротоковой литотрипсией. Применение контактной литотрипсии при пероральной транспапиллярной холангиоскопии в сочетании с другими современными способами эндоскопического лечения холедохолитиаза обладает хорошим техническим и клиническим эффектом даже при гигантских размерах билиарных конкрементов.

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Giant staghorn common bile duct calculus

Cited by 4 publications

References 1 publication

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

Successful endoscopic treatment of giant multiple choledocholithiasis using oral transpapillary cholangioscopy and intraductal contact lithotripsy

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