Risk Factors for Recurrent Symptomatic Pigmented Biliary Stones after Percutaneous Transhepatic Biliary Extraction

Kim, Dong Won; Lee, Sang-Yun; Cho, Jin-Han; Kang, Myeong Jin; Noh, Myung Hwan; Park, Byeong-Ho

doi:10.1016/j.jvir.2010.02.033

Cited by 5 publications

(3 citation statements)

References 19 publications

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“…The dilated common bile duct may evoke the recurrence of common bile duct stones. Recurrent bile duct stones were reported frequently in the case of large size of stones, multiple stones, and the presence of pneumobilia [3,14]. The dysmotility of the bile duct tract was usually confined to the gallbladder dyskinesia and sphincter of oddi dysfunction [15].…”

Section: Discussionmentioning

confidence: 99%

“…However, depending on the size, site, and situation of the impacted stone, we have often encountered difficulties during endoscopic treatments. Moreover, recurrence has been reported frequently in the case of a large stone or multiple stones [3]. The type ofsurgical treatment depends on the clinical situations and the size of the dilated common bile duct.…”

Section: Introductionmentioning

confidence: 99%

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Giant common bile duct stone

2011

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AbstractBile duct stones, which obstruct the common bile duct, potentially result in complications, such as acute cholangitis and pancreatitis. We present a case involving a patient with normal liver function tests from whom we removed a giant common bile duct stone measuring 7.5 centimeters × 4.0 centimeters × 4.0 centimeters. Postoperatively recurrent common bile duct stones were observed and removed with an endoscopic maneuver in the three-year follow-up period. Recurrent bile duct stones are frequently reported in the case of large size of stones or multiple stones. Surgical treatment may then be considered as a first-line treatment in cases of recurrent common bile duct stones. When an endoscopic or surgical approach is used for the treatment of giant common bile duct stones, careful observation is of the utmost importance and treatment innovations may be necessary.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Giant common bile duct stone

2011

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“…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. The size of an obstructing stone varies from a few millimeters in diameter (if impacted in ampulla) to several centimeters.…”

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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