Choledocholithiasis

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Bile pathway	Choledocholithiasis	Digestive system	Gallbladder
Gallbladder	Kidney cyst with gallstones, CT scan

Gallstone in the bile duct; Bile duct stone; Bile calculus; Biliary calculus

• Abdominal pain in the upper right quadrant or the middle of the upper abdomen
  • May radiate to the right shoulder
  • May be sharp or cramping or dull
  • May be recurrent
  • May radiate to the back
  • Made worse by eating fatty or greasy foods
  • Occurs within minutes following meals
• Nausea
• Vomiting
• Fever
• Jaundice
• Loss of appetite

Tests that show the location of stones in the bile duct include the following:

• ERCP ( endoscopic retrograde cholangiography)
• MRCP (magnetic resonance cholangiopancreatography)
• Abdominal CT scan
• Abdominal ultrasound
• Percutaneous transhepatic cholangiogram (PTCA)

Other blood tests that may be affected include the following:

• Bilirubin level, elevated
• Liver function tests
• Pancreatic enzymes

Review Date: 11/14/2006
Reviewed By: Jenifer K. Lehrer, MD, Department of Gastroenterology, Frankford-Torresdale Hospital, Jefferson Health System, Philadelphia, PA. Review provided by VeriMed Healthcare Network.