Abstract
Bile duct calculi can be classified into primary or secondary stones, depending on their site of origin. The majority of bile duct stones are secondary stones formed in the gallbladder, which then migrate into the extrahepatic biliary tree. These stones reflect the composition of gallbladder stones, i.e. predominantly cholesterol in 80% and black pigment in 20% (Hawes and Sherman 1995) The frequency of common bile duct stones increases with increasing age of the patient. Cystic duct diameter appears to be an important factor in the migration of gallbladder stones into the common bile duct. Primary stones form de novo in the bile ducts. These pigmented stones are brown or black and are often friable. Their pathogenesis depends on two main factors, which are biliary stasis and bacterial or parasitic infection.
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Van Beers, B., Pringot, J. (2000). Choledocholithiasis and CT Cholangiography. In: Terrier, F., Grossholz, M., Becker, C.D. (eds) Spiral CT of the Abdomen. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56976-0_17
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DOI: https://doi.org/10.1007/978-3-642-56976-0_17
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