Giant staghorn common bile duct calculus

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Mohamed Salah Jarrar
Mohamed Habib Ben Hadj Khalifa
Rafik Ghrissi
Imed Ben Mansour
Fehmi Hamila
Amine Elghali
Rached Letaief

Abstract

Summary
Introduction. Stones in common bile duct are defined as ‘large’ if they are more than 15 mm in size. There are very few reports which describe a giant stone measuring 5 cm or more and exceptionally a staghorn calculus in the common bile duct.
Purpose. The purpose is to report a new rare case of giant staghorn gallstone and discuss the diagnostic approach and therapeutic possibilities.
Case report. We report a case of a giant staghorn common bile duct calculus in a 65-year-old patient. Its removal required 2 operations and an endoscopic retrograde cholangiopancreatography with endoscopic sphincterotomy.
Conclusion. Lithiasis of the common bile duct is considered to be a benign, but may sometimes be complicated and time-consuming. Staghorn calculi are very rare in the biliary tract. We found only two published reports of staghorn common bile duct calculi.

Keywords:

Giant staghorn calculus; Common bile duct; CT-Scan; ERCP; Surgery.

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