Published: 2021-06-28

A case report of spontaneous passage of large (>1.5 cm) common bile duct calculi (4 in number) through faeces

Maliha i. Ansari, Anand S. Pandey


Gallbladder (GB) stones are commonly associated with common bile duct stones (CBDS). While they may remain asymptomatic, some may present with symptoms like biliary colic, jaundice and cholecystitis. Most of these stones in the CBD, if small, pass through faeces. Passing larger stones through faeces is relatively rare and if it does occur, is usually associated with fatal complications like acute pancreatitis. The authors reported a case wherein symptomatic large CBD stones were spontaneously passed through faeces and the patient was relieved of the symptoms and did not suffer any further complications. Choledocholithiasis is usually managed by endoscopic retrograde cholangiopancreatography or by laparoscopic or open choledocholithotomy. Spontaneous passage of small CBD and GB calculi through faeces although common is associated often with the development of pancreatitis. Passage of large CBD calculi (size >1.5 cm) through faeces is rarely seen.


Common bile duct stones, Gallbladder calculi, CBDS in stool

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Conlon K. The gall bladder and bile ducts. In: William NS, Bulstrode CJK, O’Connell PR, eds. Bailey and Love’s Short Practice of Surgery. 26th ed. Florida: CRC Press/Taylor and Francis Group; 2013: 1106-7.

Roberts-Thomson IC. The management of bile duct stones. Indian J Gastroenterol. 2004;23(3):102-6.

Tranter SE, Thompson MH. Spontaneous passage of bile duct stones: frequency of occurrence and relation to clinical presentation. Ann R Coll Surg Engl. 2003;85(3):174-7.

Adileh M, Imam A, Azraq Y, Bilitzky-Kopit A, Massarwa M, Benson A, et al. Parameters suggesting spontaneous passage of stones from common bile duct: a retrospective study. Can J Gastroenterol Hepatol. 2019:5382708.

Roy A, Martin D. Complicated bile duct stones. BMJ Case Rep. 2013:2013200667.