Choledocholithiasis
Alternative Names
Gallstone in the bile duct; Bile duct stone; Bile calculus; Biliary calculusSymptoms
- Abdominal pain in the upper right quadrant or the middle of the upper abdomen
- May radiate to the right shoulder
- May be sharp or cramping or dull
- May be recurrent
- May radiate to the back
- Made worse by eating fatty or greasy foods
- Occurs within minutes following meals
- Nausea
- Vomiting
- Fever
- Jaundice
- Loss of appetite
Exams and Tests
Tests that show the location of stones in the bile duct include the following:
- ERCP (endoscopic retrograde cholangiography)
- MRCP (magnetic resonance cholangiopancreatography)
- Abdominal CT scan
- Abdominal ultrasound
- Percutaneous transhepatic cholangiogram (PTCA)
Other blood tests that may be affected include the following:
- Bilirubin level, elevated
- Liver function tests
- Pancreatic enzymes
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