Choledocholithiasis is the presence of a gallstone in the common bile duct. The stone may consist of bile pigments or calcium and cholesterol salts.
About 15% of people with gallstones will develop stones in the common bile duct, the small tube that carries bile from the gallbladder to the intestine.
Risk factors include a previous medical history of gallstones. However, choledocholithiasis can occur in people who have had their gallbladder removed.
Symptoms usually do not occur unless the stone blocks the common bile duct. Symptoms that may occur include:
Tests that show the location of stones in the bile duct include the following:
Your doctor may order the following blood tests:
The goal of treatment is to relieve the blockage.
Treatment may involve:
Blockage and infection caused by stones in the biliary tract can be life threatening. However, with prompt diagnosis and treatment, the outcome is usually very good.
Call for an appointment with your health care provider if abdominal pain with or without fever develops that is not attributable to other causes, if jaundice develops, or if other symptoms suggestive of choledocholithiasis occur.
Gallstone in the bile duct; Bile duct stone