Choledocholithiasis (patient information): Difference between revisions

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__NOTOC__
{{Choledocholithiasis (patient information)}}
'''For the WikiDoc page for this topic, click [[Choledocholithiasis|here]]'''
'''For the WikiDoc page for this topic, click [[Choledocholithiasis|here]]'''
{{SI}}


'''Editor-in-Chief:''' Meagan E. Doherty
{{CMG}}; '''Assistant Editor-in-Chief:''' Meagan E. Doherty


{{EJ}}
==Overview==


==What is Choledocholithiasis?==
Choledocholithiasis is the presence of a [[gallstone]] in the [[common bile duct]]. The stone may consist of [[bile pigments]] or [[calcium]] and [[cholesterol salts]].
Choledocholithiasis is the presence of a [[gallstone]] in the [[common bile duct]]. The stone may consist of [[bile pigments]] or [[calcium]] and [[cholesterol salts]].


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* [[Vomiting]]
* [[Vomiting]]


==What are the causes of Choledocholithiasis?==
==What causes Choledocholithiasis?==
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]].
While stones can frequently pass through the [[common bile duct]] into the [[duodenum,]] some stones may be too large to pass through the CBD and will cause an obstruction.  


==Who is at risk for Choledocholithiasis?==
==Who is at highest risk?==
Risk Factors include:
Risk Factors include:
* A previous medical history of [[gallstones]]
* A previous medical history of [[gallstones]]
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Choledocholithiasis can occur in people who have had their [[gallbladder]] removed
Choledocholithiasis can occur in people who have had their [[gallbladder]] removed


==How to know you have Choledocholithiasis?==
==Diagnosis==
Tests that show the location of stones in the [[bile duct]] include the following:
* Abdominal [[CT scan]]
* Abdominal [[ultrasound]]
* [[Endoscope retrograde cholangiography]] ([[ERCP]])
* [[Endoscopic ultrasound]]
* [[Magnetic resonance cholangiopancreatography]] ([[MRCP]])
* [[Percutaneous transhepatic cholangiogram]] ([[PTCA]])


==When to seek urgent medical care==
Your doctor may order the following blood tests:
* [[Bilirubin]]
* Liver function tests
* [[Pancreatic enzymes]]
==Diseases with similar symptoms==
* [[Cholecystitis]]
* [[Perforated peptic ulcer]]
* [[Acute peptic ulcer exacerbation]]
* Amoebic [[liver abscess]]
* [[Acute amoebic liver colitis]]
* [[Acute pancreatitis]]
* [[Acute intestinal obstruction]]
* [[Renal colic]]
* [[Acute retrocolic appendicitis]]
 
==When to seek urgent medical care?==
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.
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.


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* [[ERCP]] and a procedure called a [[sphincterotomy]], which makes a surgical cut into the [[muscle]] in the [[common bile duct]].
* [[ERCP]] and a procedure called a [[sphincterotomy]], which makes a surgical cut into the [[muscle]] in the [[common bile duct]].


==Diseases with similar symptoms==
==Where to find medical care for Choledocholithiasis?==
 
==Where to find medical care for Choledocholithiasis==
[http://maps.google.com/maps?f=q&hl=en&geocode=&q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|yourdisease}}}}&sll=37.0625,-95.677068&sspn=65.008093,112.148438&ie=UTF8&ll=37.0625,-95.677068&spn=91.690419,149.414063&z=2&source=embed Directions to Hospitals Treating Choledocholithiasis]
[http://maps.google.com/maps?f=q&hl=en&geocode=&q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|yourdisease}}}}&sll=37.0625,-95.677068&sspn=65.008093,112.148438&ie=UTF8&ll=37.0625,-95.677068&spn=91.690419,149.414063&z=2&source=embed Directions to Hospitals Treating Choledocholithiasis]


==Prevention of Choledocholithiasis==
==What to expect (Outlook/Prognosis)?==
 
==What to expect (Outlook/Prognosis)==
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.
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.


====Possible Complications===
===Possible Complications===
* Biliary [[cirrhosis]]
* Biliary [[cirrhosis]]
* [[Cholangitis]]
* [[Cholangitis]]
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==Sources==
==Sources==
*http://www.nlm.nih.gov/medlineplus/ency/article/000274.htm
{{reflist|2}}


[[Category:Patient information]]
[[Category:Mature chapter]]
[[Category:Gastroenterology]]
[[Category:Gastroenterology patient information]]


[[Category:Infectious disease patient information]]
[[Category:Hepatology]]
[[Category:Hepatology patient information]]


{{SIB}}
{{WH}}
[[Category:Patient Information]] {{WH}} {{WS}}
{{WS}}

Latest revision as of 17:24, 18 September 2017

Choledocholithiasis

Overview

What are the symptoms?

What are the causes?

Who is at highest risk?

Diagnosis

When to seek urgent medical care?

Treatment options

Where to find medical care for Choledocholithiasis?

What to expect (Outlook/Prognosis)?

Choledocholithiasis On the Web

Ongoing Trials at Clinical Trials.gov

Images of Choledocholithiasis

Videos on Choledocholithiasis

FDA on Choledocholithiasis

CDC on Choledocholithiasis

Choledocholithiasisin the news

Blogs on Choledocholithiasis

Directions to Hospitals Treating Choledocholithiasis

Risk calculators and risk factors for Choledocholithiasis

For the WikiDoc page for this topic, click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Assistant Editor-in-Chief: Meagan E. Doherty

Overview

Choledocholithiasis is the presence of a gallstone in the common bile duct. The stone may consist of bile pigments or calcium and cholesterol salts.

What are the symptoms of Choledocholithiasis?

Symptoms usually do not occur unless the stone blocks the common bile duct. Symptoms that may occur include:

  • Abdominal pain in the right upper or middle upper abdomen that may:
    • Come and go
    • Be sharp, cramping, or dull
    • Spread to the back or below the right shoulder blade
    • Get worse after eating fatty or greasy foods
    • Occurs within minutes of a meal
  • Fever
  • Loss of appetite
  • Jaundice (yellowing of skin and whites of eyes)
  • Nausea
  • Vomiting

What causes Choledocholithiasis?

While stones can frequently pass through the common bile duct into the duodenum, some stones may be too large to pass through the CBD and will cause an obstruction.

Who is at highest risk?

Risk Factors include:

Choledocholithiasis can occur in people who have had their gallbladder removed

Diagnosis

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

Your doctor may order the following blood tests:

Diseases with similar symptoms

When to seek urgent medical care?

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.

Treatment options

The goal of treatment is to relieve the blockage.

Treatment may involve:

Where to find medical care for Choledocholithiasis?

Directions to Hospitals Treating Choledocholithiasis

What to expect (Outlook/Prognosis)?

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.

Possible Complications

Sources

Template:WH Template:WS