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
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Cameron J, Cameron A. Current surgical therapy. 11th ed. Philadelphia: Elsevier; 2014.Google Scholar
Townsend C, Beauchamp R, Evers B, Mattox K. Sabiston textbook of surgery. 19th ed. Philadelphia: Elsevier; 2012.Google Scholar
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
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