Etymed

choledocholithiasis

choledoch/o lith/o iasis

Definition

The formation or presence of stones (calculi) within the common bile duct

Clinical context

A 55-year-old woman presents to the emergency department with severe right upper quadrant pain radiating to her back, fever, and jaundice. She has a history of gallstones and recently experienced a bout of biliary colic. Physical examination reveals Murphy's sign and icterus. Lab studies show elevated bilirubin and alkaline phosphatase. Imaging confirms dilated bile ducts with a filling defect.

Mnemonic

Cobblestone in the common duct causes choledocholithiasis

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