Choledocholithiasis with hepatolithiasis: spontaneous passage of a string of pearls
DOI:
https://doi.org/10.18203/2349-2902.isj20230304Keywords:
Choledocholithiasis, Gallstones, Endoscopic retrograde cholangiopanceatography, Jaundice, PancreatitisAbstract
Choledocholithiasis is known to pass spontaneously in a large proportion of patients. This case report documents extensive choledocholithiasis and hepatolithiasis presenting as gallstone pancreatitis in a 37-year-old female. All ductal stones (>15 stones measuring up to 10 mm) had passed spontaneously at the time of endoscopic retrograde cholangiopancreatography, 10 days after presentation. No previous case reports document this number, size and location of ductal stones passing spontaneously.
References
Costi R, Gnocchi A, Di Mario F, Sarli L. Diagnosis and management of choledocholithiasis in the golden age of imaging, endoscopy and laparoscopy. World J Gastroenterol. 2014;20(37):13382-401.
Tazuma S. Gallstone disease: Epidemiology, pathogenesis, and classification of biliary stones (common bile duct and intrahepatic). Best Pract Res Clin Gastroenterol. 2006;20(6):1075-83.
Buxbaum JL, Abbas Fehmi SM, Sultan S, Fishman DS, Qumseya BJ, Cortessis VK, et al. ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis. Gastrointest Endosc. 2019;89(6):1075-105.
Li C, Wen T. Surgical management of hepatolithiasis: A minireview. Intractable Rare Dis Res. 2017;6(2):102-5.
Collins C, Maguire D, Ireland A, Fitzgerald E, O'Sullivan GC. A prospective study of common bile duct calculi in patients undergoing laparoscopic cholecystectomy: natural history of choledocholithiasis revisited. Ann Surg. 2004;239(1):28-33.
Lefemine V, Morgan RJ. Spontaneous passage of common bile duct stones in jaundiced patients. Hepatobiliary Pancreat Dis Int. 2011;10(2):209-13.
Sperna Weiland CJ, Verschoor EC, Poen AC, Smeets XJMN, Venneman NG, Bhalla A, et al. Suspected common bile duct stones: reduction of unnecessary ERCP by pre-procedural imaging and timing of ERCP. Surg Endosc [Preprint]. 2022.