Common bile duct stone

Compared Gall bladder stone, CBD stones are more likely to cause symptoms, and are more likely to cause serious complications. Stones in the CBD are mostly the passed down stones from Gall bladder, however in some patients, stones can be formed de novo in CBD also

Symptoms

  • Pain in upper abdomen and jaundice
  • Fever with chills
  • Low blood pressure
  • Decreased urine output

Diagnosis

Stones in CBD can be diagnosed on trans abdominal ultrasound, however this test has limited sensitivity. MRCP and EUS are the better modalities for diagnosis of CBD stones

Treatment

  • All patients with CBD stones requires urgent treatment
  • ERCP is the standard procedure to remove CBD stones. During ERCP endoscope is introduced through the mouth once the patient is sedated, and with the help of various accessories, stones are taken out of the CBD
  • In patients with infection of biliary system, stent needs to be placed in CBD to drain the bile effectively

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