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2012 | 7 | 1 | 59-62

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Giant common bile duct stone



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Bile duct stones, which obstruct the common bile duct, potentially result in complications, such as acute cholangitis and pancreatitis. We present a case involving a patient with normal liver function tests from whom we removed a giant common bile duct stone measuring 7.5 centimeters × 4.0 centimeters × 4.0 centimeters. Postoperatively recurrent common bile duct stones were observed and removed with an endoscopic maneuver in the three-year follow-up period. Recurrent bile duct stones are frequently reported in the case of large size of stones or multiple stones. Surgical treatment may then be considered as a first-line treatment in cases of recurrent common bile duct stones. When an endoscopic or surgical approach is used for the treatment of giant common bile duct stones, careful observation is of the utmost importance and treatment innovations may be necessary.











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1 - 2 - 2012
24 - 11 - 2011


  • Department of Surgery, Korea University Ansan Hospital, Gyeonggi-do, 425-707, Republic of Korea
  • Department of Surgery, Korea University Ansan Hospital, Gyeonggi-do, 425-707, Republic of Korea
  • Department of Surgery, Korea University Ansan Hospital, Gyeonggi-do, 425-707, Republic of Korea


  • [1] Chari RS, Shah SA. Biliary system. In Jr CMT, Beauchamp RD, Evers BM, et al., eds. Textbook of Surgery. Philadelphia: Saunders, 2008. pp. 1547–1588
  • [2] Caddy GR, Tham TC. Gallstone disease: Symptoms, diagnosis and endoscopic management of common bile duct stones. Best Pract Res Clin Gastroenterol. 2006;20:1085–1101 http://dx.doi.org/10.1016/j.bpg.2006.03.002[Crossref]
  • [3] Kim DW, Lee SY, Cho JH, et al. Risk factors for recurrent symptomatic pigmented biliary stones after percutaneous transhepatic biliary extraction. J Vasc Interv Radiol. 2010;21:1038–1044 http://dx.doi.org/10.1016/j.jvir.2010.02.033[Crossref][WoS]
  • [4] Hochberger J, Tex S, Maiss J, et al. Management of difficult common bile duct stones. Gastrointest Endosc Clin N Am. 2003;13:623–634 http://dx.doi.org/10.1016/S1052-5157(03)00102-8[Crossref]
  • [5] Matsumoto S, Ikeda S, Tanaka M, et al. Nonoperative removal of giant common bile duct calculi. Am J Surg. 1988;155:780–782 http://dx.doi.org/10.1016/S0002-9610(88)80042-4[Crossref]
  • [6] Cipolletta L, Costamagna G, Bianco MA, et al. Endoscopic mechanical lithotripsy of difficult common bile duct stones. Br J Surg. 1997;84:1407–1409. http://dx.doi.org/10.1002/bjs.1800841019[Crossref]
  • [7] Garg PK, Tandon RK, Ahuja V, et al. Predictors of unsuccessful mechanical lithotripsy and endoscopic clearance of large bile duct stones. Gastrointest Endosc. 2004;59:601–605 http://dx.doi.org/10.1016/S0016-5107(04)00295-0[Crossref]
  • [8] Holtmann MH, Franzaring L, Kiesslich R, et al. [Giant bile duct stones in a patient with a 4-year remaining biliary stent]. Z Gastroenterol. 2006;44:1043–1045 http://dx.doi.org/10.1055/s-2006-926771[Crossref]
  • [9] Hussain A, Jeelani G, Zargar HU, et al. Giant common bile duct calculus. Int Surg. 1977;62:476 [PubMed]
  • [10] Okano A, Takakuwa H, Nishio A. Giant stone in the common bile duct. Endoscopy. 2001;33:907 http://dx.doi.org/10.1055/s-2001-17336[Crossref]
  • [11] Ferrari A, Recchia S, Coppola F, et al. [Endoscopic therapy of giant choledochal calculosis]. Minerva Gastroenterol Dietol. 1991;37:157–161 [PubMed]
  • [12] Matsumoto S, Ikeda S, Maeshiro K, et al. Management of giant common bile duct stones in high-risk patients using a combined transhepatic and endoscopic approach. Am J Surg. 1997;173:115–116 http://dx.doi.org/10.1016/S0002-9610(96)00406-0[Crossref]
  • [13] Okabe Y, Kaji R, Ishida Y, et al. Successful endoscopic extraction of a large impacted choledocholithiasis in the ampulla of vater: two interesting cases. Dig Endosc. 2010;22Suppl 1:S103–106 http://dx.doi.org/10.1111/j.1443-1661.2010.00977.x[Crossref]
  • [14] Fujimoto T, Tsuyuguchi T, Sakai Y, et al. Long-term outcome of endoscopic papillotomy for choledocholithiasis with cholecystolithiasis. Dig Endosc. 2010;22:95–100 http://dx.doi.org/10.1111/j.1443-1661.2010.00936.x[WoS][Crossref]
  • [15] Vassiliou MC, Laycock WS. Biliary dyskinesia. Surg Clin North Am. 2008;88:1253–1272, viii–ix http://dx.doi.org/10.1016/j.suc.2008.07.004[Crossref]
  • [16] Ng WW, Lai KH, Liu RS, et al. Biliary motility following endoscopic sphincterotomy for recurrent common bile duct stones. Zhonghua Yi Xue Za Zhi (Taipei). 1995;56:159–165 [PubMed]
  • [17] Komi N, Takehara H, Kunitomo K, et al. Does the type of anomalous arrangement of pancreaticobiliary ducts influence the surgery and prognosis of choledochal cyst? J Pediatr Surg. 1992;27:728–731 http://dx.doi.org/10.1016/S0022-3468(05)80102-2[Crossref]
  • [18] Singh S, Kheria LS, Puri S, et al. Choledochal cyst with large stone cast and portal hypertension. Hepatobiliary Pancreat Dis Int. 2009;8:647–649

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