Management of Choledocholithiasis

  • Joel VanderVelde
  • Ross F. GoldbergEmail author


Choledocholithiasis is a common disease requiring surgical management. Initial presentation includes right upper quadrant pain and laboratory values showing a cholestatic pattern. Abdominal ultrasound is a diagnostic study used initially that has high sensitivity. Management should focus on removing the stone from the common bile duct whether by endoscopic or operative means and a cholecystectomy to prevent recurrence.


Common bile duct ERCP MRCP Cholecystectomy Common bile duct exploration 


  1. 1.
    Cameron J, Cameron A. Current surgical therapy. 11th ed. Philadelphia: Elsevier; 2014.Google Scholar
  2. 2.
    Townsend C, Beauchamp R, Evers B, Mattox K. Sabiston textbook of surgery. 19th ed. Philadelphia: Elsevier; 2012.Google Scholar
  3. 3.
    Qiu Y, et al. An analysis of the factors related to missed diagnosis of choledocholithiasis by preoperative ultrasound. BM Gastroenterol. 2015;15:158.CrossRefGoogle Scholar
  4. 4.
    Yaghoobi M, et al. Diagnostic accuracy of EUS compared with MRCP in detecting choledocholithiasis: a meta-analysis of diagnostic test accuracy of head-to-head studies. Gastrointest Endosc. 2017;86(6):986–93.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of SurgeryMaricopa Integrated Health SystemPhoenixUSA
  2. 2.Creighton University School of MedicinePhoenixUSA
  3. 3.University of Arizona College of Medicine – PhoenixPhoenixUSA

Personalised recommendations