Skip to main content
SpringerLink
Log in

Giant common bile duct stone

  • Case Report
  • Published:
Central European Journal of Medicine

Abstract

Bile duct stones, which obstruct the common bile duct, potentially result in complications, such as acute cholangitis and pancreatitis. We present a case involving a patient with normal liver function tests from whom we removed a giant common bile duct stone measuring 7.5 centimeters × 4.0 centimeters × 4.0 centimeters. Postoperatively recurrent common bile duct stones were observed and removed with an endoscopic maneuver in the three-year follow-up period. Recurrent bile duct stones are frequently reported in the case of large size of stones or multiple stones. Surgical treatment may then be considered as a first-line treatment in cases of recurrent common bile duct stones. When an endoscopic or surgical approach is used for the treatment of giant common bile duct stones, careful observation is of the utmost importance and treatment innovations may be necessary.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Chari RS, Shah SA. Biliary system. In Jr CMT, Beauchamp RD, Evers BM, et al., eds. Textbook of Surgery. Philadelphia: Saunders, 2008. pp. 1547–1588

    Google Scholar 

  2. Caddy GR, Tham TC. Gallstone disease: Symptoms, diagnosis and endoscopic management of common bile duct stones. Best Pract Res Clin Gastroenterol. 2006;20:1085–1101

    Article  PubMed  Google Scholar 

  3. Kim DW, Lee SY, Cho JH, et al. Risk factors for recurrent symptomatic pigmented biliary stones after percutaneous transhepatic biliary extraction. J Vasc Interv Radiol. 2010;21:1038–1044

    Article  PubMed  Google Scholar 

  4. Hochberger J, Tex S, Maiss J, et al. Management of difficult common bile duct stones. Gastrointest Endosc Clin N Am. 2003;13:623–634

    Article  PubMed  CAS  Google Scholar 

  5. Matsumoto S, Ikeda S, Tanaka M, et al. Nonoperative removal of giant common bile duct calculi. Am J Surg. 1988;155:780–782

    Article  PubMed  CAS  Google Scholar 

  6. Cipolletta L, Costamagna G, Bianco MA, et al. Endoscopic mechanical lithotripsy of difficult common bile duct stones. Br J Surg. 1997;84:1407–1409.

    Article  PubMed  CAS  Google Scholar 

  7. Garg PK, Tandon RK, Ahuja V, et al. Predictors of unsuccessful mechanical lithotripsy and endoscopic clearance of large bile duct stones. Gastrointest Endosc. 2004;59:601–605

    Article  PubMed  Google Scholar 

  8. Holtmann MH, Franzaring L, Kiesslich R, et al. [Giant bile duct stones in a patient with a 4-year remaining biliary stent]. Z Gastroenterol. 2006;44:1043–1045

    Article  PubMed  CAS  Google Scholar 

  9. Hussain A, Jeelani G, Zargar HU, et al. Giant common bile duct calculus. Int Surg. 1977;62:476

    PubMed  CAS  Google Scholar 

  10. Okano A, Takakuwa H, Nishio A. Giant stone in the common bile duct. Endoscopy. 2001;33:907

    Article  PubMed  CAS  Google Scholar 

  11. Ferrari A, Recchia S, Coppola F, et al. [Endoscopic therapy of giant choledochal calculosis]. Minerva Gastroenterol Dietol. 1991;37:157–161

    PubMed  CAS  Google Scholar 

  12. Matsumoto S, Ikeda S, Maeshiro K, et al. Management of giant common bile duct stones in high-risk patients using a combined transhepatic and endoscopic approach. Am J Surg. 1997;173:115–116

    Article  PubMed  CAS  Google Scholar 

  13. Okabe Y, Kaji R, Ishida Y, et al. Successful endoscopic extraction of a large impacted choledocholithiasis in the ampulla of vater: two interesting cases. Dig Endosc. 2010;22Suppl 1:S103–106

    Article  PubMed  Google Scholar 

  14. Fujimoto T, Tsuyuguchi T, Sakai Y, et al. Long-term outcome of endoscopic papillotomy for choledocholithiasis with cholecystolithiasis. Dig Endosc. 2010;22:95–100

    Article  PubMed  Google Scholar 

  15. Vassiliou MC, Laycock WS. Biliary dyskinesia. Surg Clin North Am. 2008;88:1253–1272, viii–ix

    Article  PubMed  Google Scholar 

  16. Ng WW, Lai KH, Liu RS, et al. Biliary motility following endoscopic sphincterotomy for recurrent common bile duct stones. Zhonghua Yi Xue Za Zhi (Taipei). 1995;56:159–165

    PubMed  CAS  Google Scholar 

  17. Komi N, Takehara H, Kunitomo K, et al. Does the type of anomalous arrangement of pancreaticobiliary ducts influence the surgery and prognosis of choledochal cyst? J Pediatr Surg. 1992;27:728–731

    Article  PubMed  CAS  Google Scholar 

  18. Singh S, Kheria LS, Puri S, et al. Choledochal cyst with large stone cast and portal hypertension. Hepatobiliary Pancreat Dis Int. 2009;8:647–649

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Korea University Ansan Hospital, Gyeonggi-do, 425-707, Republic of Korea

    Hyung Joon Han, Jin Suk Lee & Tae Jin Song

Authors
  1. Hyung Joon Han
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jin Suk Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Tae Jin Song
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Tae Jin Song.

About this article

Cite this article

Han, H.J., Lee, J.S. & Song, T.J. Giant common bile duct stone. cent.eur.j.med 7, 59–62 (2012). https://doi.org/10.2478/s11536-011-0102-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.2478/s11536-011-0102-5

Keywords

Search

Navigation