Case 53: Choledocholithiasis || Common Bile Duct Calculus

          

Clinical Features:

A 50 years old male patient came with

- Severe right upper abdominal pain.

- Vomiting.

Ultrasound Features:

- Dilated common bile duct.

- A bright echogenic structure casting acoustic shadow is noted within the distal common bile duct lumen.

- Biliary sludge.

Remember:

Other imaging correlation is always safe to exclude distal common bile duct growth when we get a bile duct calculus.

Ultrasound Images:

Fig: Section of gallbladder showing luminal sludge

Fig: Section of gallbladder showing luminal sludge

Fig: Dilated common bile duct (CBD) with distal luminal echogenic calculus

Fig: Dilated common bile duct (CBD) with distal luminal echogenic calculus

Fig: High frequency view; Dilated common bile duct (CBD) with distal luminal echogenic calculus

YouTube Video Link:

https://youtu.be/jA_vi46GUp4