Case Report
Giant Staghorn Common Bile Duct Calculus (A Case Report)
Javaid Bhat*Department of General Surgery, Sher-i-Kashmir Institute of Medical Sciences, Jammu Kashmir, India
- *Corresponding Author:
- Bhat J
Department of General Surgery, Sher-i-Kashmir Institute of Medical Sciences
Jammu Kashmir, India
Tel: +919419005579
E-mail: dr.skims1283@gmail.com
Received date: September 11, 2017; Accepted date: September 15, 2017; Published date: September 22, 2017
Citation: Bhat J (2017) Giant Staghorn Common Bile Duct Calculus (A Case Report). J Gastrointest Dig Syst 7:528. doi:10.4172/2161-069X.1000528
Copyright: © 2017 Bhat J. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Giant staghorn common bile duct (CBD) calculi are usually uncommon but can be found in patients with oriental cholangiohepatitis. The size of stone can vary from few millimetres to several centimetres. These are usually pigment stones and patients can present with pain, jaundice and fever or some times Reynold's pentad. Primary bile duct stones form within the bile ducts and usually are of brown pigment variety containing higher proportion of bilirubin as compared to cholesterol.
Bile infection appears to be the initial event leading to stone formation. The secondary CBD stones arise from gall bladder or intra and extrahepatic ducts. They are mostly cholesterol stones. We are presenting a case in which we removed a giant staghorn calculus from the CBD measuring 11.5 × 4 cm and weighing about 100 grams.
