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Choledocholithiasis

A gallstone is a crystalline concretion formed within the gallbladder by accretion of bile components. These calculi are formed in the gallbladder but may distally pass into other parts of the biliary tract such as the cystic duct, common bile duct, pancreatic duct, or the ampulla of Vater. Rarely, in cases of severe inflammation, gallstones may erode through the gallbladder into adherent bowel potentially causing an obstruction termed gallstone ileus.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with choledocholithiasis, 83% report having sharp abdominal pain, 59% report having upper abdominal pain, and 57% report having vomiting. The symptoms that are highly suggestive of choledocholithiasis are upper abdominal pain, jaundice, and unusual color or odor to urine, although you may still have choledocholithiasis without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with choledocholithiasis often receive hematologic tests, complete blood count, radiographic imaging procedure, intravenous fluid replacement, kidney function tests, electrolytes panel, glucose measurement and urinalysis .

Common Medications

The most commonly prescribed drugs for patients with choledocholithiasis include metronidazole, midazolam (versed), zosyn, ampicillin, atropine / hyoscyamine / phenobarbital / scopolamine, mivacurium, plasma protein fraction (plasmanate), vitamin k 1 (mephyton), desipramine, cinacalcet (sensipar), barium sulfate, sulfamethoxazole (bactrim) and cefepime .

Who is at risk?

Groups of people at highest risk for choledocholithiasis include age 75+ years age 60-74 years. On the other hand, age < 1 years almost never get choledocholithiasis.

Age

< 1 years
0.0x
1-4 years
0.8x
5-14 years
0.1x
15-29 years
0.6x
30-44 years
1.2x
45-59 years
1.0x
60-74 years
1.8x
75+ years
1.6x

Sex

Male
0.6x
Female
1.3x

Race/Ethnicity

Black
0.6x
Hispanic
1.4x
White
1.0x
Other
1.3x
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