Work

Large common bile duct stone: a case report

Year: 2025

Type: article

Abstract: Choledocholithiasis, the presence of stones within the common bile duct (CBD), poses significant therapeutic challenges, especially when stones exceed 15 mm in diameter. Large CBD stones can lead to complications such as biliary obstruction, cholangitis, and pancreatitis. Endoscopic retrograde cholangiopancreatography (ERCP) is the first-line treatment; however, surgical intervention may be required for refractory cases. We present a case of a 50-year-old female with a giant CBD stone measuring 6 × 4 × 4 cm, managed successfully via open CBD exploration and T-tube placement after failed endoscopic extraction. This case underscores the importance of tailored management strategies for complex biliary stone disease. While ERCP remains the gold standard, open CBD exploration remains a viable option for large, impacted stones.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjaf264

Authors: Sadiq Husain, Yogesh Rawat, Mohd Sadik Akhtar, Sarthak Kulshrestha

Institution: Aligarh Muslim University

Language: English

Topic: Gallbladder and Bile Duct Disorders

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000