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Choledocholithiasis
L. Nayeli Morimoto, MD; Aya Kamaya, MD, FSRU, FSAR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Cholangiolithiasis, hepatolithiasis, biliary calculi, common bile duct (CBD) stones
              • Definitions

                • Choledocholithiasis: Extrahepatic ductal stones/calculi
                • Hepatolithiasis: Intrahepatic stones/calculi

              IMAGING

              • General Features

                • Ultrasonographic Findings

                  • Radiographic Findings

                    • CT Findings

                      • MR Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Costi R et al: Diagnosis and management of choledocholithiasis in the golden age of imaging, endoscopy and laparoscopy. World J Gastroenterol. 20(37):13382-401, 2014
                                          2. Stinton LM et al: Epidemiology of gallbladder disease: cholelithiasis and cancer. Gut Liver. 6(2):172-87, 2012
                                          3. O'Connor OJ et al: Imaging of biliary tract disease. AJR Am J Roentgenol. 197(4):W551-8, 2011
                                          4. Yeh BM et al: MR imaging and CT of the biliary tract. Radiographics. 29(6):1669-88, 2009
                                          5. Rubens DJ. Ultrasound imaging of the biliary tract. Ultrasound Clinics. 2(3):391–413, 2007
                                          6. Caddy GR et al: Gallstone disease: Symptoms, diagnosis and endoscopic management of common bile duct stones. Best Pract Res Clin Gastroenterol. 20(6):1085-101, 2006
                                          7. Freitas ML et al: Choledocholithiasis: evolving standards for diagnosis and management. World J Gastroenterol. 12(20):3162-7, 2006
                                          8. Tazuma S: Gallstone disease: Epidemiology, pathogenesis, and classification of biliary stones (common bile duct and intrahepatic). Best Pract Res Clin Gastroenterol. 20(6):1075-83, 2006
                                          9. Hanbidge AE et al: From the RSNA refresher courses: imaging evaluation for acute pain in the right upper quadrant. Radiographics. 24(4):1117-35, 2004
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Abbreviations

                                                        • Cholangiolithiasis, hepatolithiasis, biliary calculi, common bile duct (CBD) stones
                                                      • Definitions

                                                        • Choledocholithiasis: Extrahepatic ductal stones/calculi
                                                        • Hepatolithiasis: Intrahepatic stones/calculi

                                                      IMAGING

                                                      • General Features

                                                        • Ultrasonographic Findings

                                                          • Radiographic Findings

                                                            • CT Findings

                                                              • MR Findings

                                                                • Imaging Recommendations

                                                                  DIFFERENTIAL DIAGNOSIS

                                                                    PATHOLOGY

                                                                    • General Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Costi R et al: Diagnosis and management of choledocholithiasis in the golden age of imaging, endoscopy and laparoscopy. World J Gastroenterol. 20(37):13382-401, 2014
                                                                                  2. Stinton LM et al: Epidemiology of gallbladder disease: cholelithiasis and cancer. Gut Liver. 6(2):172-87, 2012
                                                                                  3. O'Connor OJ et al: Imaging of biliary tract disease. AJR Am J Roentgenol. 197(4):W551-8, 2011
                                                                                  4. Yeh BM et al: MR imaging and CT of the biliary tract. Radiographics. 29(6):1669-88, 2009
                                                                                  5. Rubens DJ. Ultrasound imaging of the biliary tract. Ultrasound Clinics. 2(3):391–413, 2007
                                                                                  6. Caddy GR et al: Gallstone disease: Symptoms, diagnosis and endoscopic management of common bile duct stones. Best Pract Res Clin Gastroenterol. 20(6):1085-101, 2006
                                                                                  7. Freitas ML et al: Choledocholithiasis: evolving standards for diagnosis and management. World J Gastroenterol. 12(20):3162-7, 2006
                                                                                  8. Tazuma S: Gallstone disease: Epidemiology, pathogenesis, and classification of biliary stones (common bile duct and intrahepatic). Best Pract Res Clin Gastroenterol. 20(6):1075-83, 2006
                                                                                  9. Hanbidge AE et al: From the RSNA refresher courses: imaging evaluation for acute pain in the right upper quadrant. Radiographics. 24(4):1117-35, 2004