Gallstones in common bile duct is also referred to as Choledocholithiasis

Gallstones themselves are called Cholelithiasis

Often they are formed in the gallbladder.  Gallstones can be present in the common bile duct

Typically the stones pass through the common bile duct into the intestines. 

Occassionally, the stones become to large to pass through the duct.

Risk factor is an increase in age

Gallstones can lead to pancreatitis and cholangitis

Symptoms:

   -  Upper abdominal pain
   -  Chills
   -  Fevers
   -  Possible jaundice
   -  Liver cell damage
   -  Charcot’s triad and is a classic finding

*Charcot’s triad is fever, jaundice and abdominal pain

Ultrasound and CT may show impaired bile flow

Treatment:

   -  Possible laparoscopic may be necessary

   -  ERSP [Endoscopic retrograde cholangiopancreatography]

   -  Antibiotics occasionally given when required

   -  Surgical removal of Gallbladder is ofen helpful