Reviewer: Hanni Gulwani, M.D. (see Reviewers page)
Revised: 13 February 2013, last major update September 2012
Copyright: (c) 2003-2013, PathologyOutlines.com, Inc.
● Stones in common bile duct
● 40% of common bile duct stones are brown stones, usually associated with recurrent pyogenic cholangitis and older age (J Int Med Res 2009;37:1220)
● Primary: originate in common bile duct
● Secondary: originate in gallbladder
● ERCP (95% sensitive and specific), ultrasound is only 50% sensitive
● 27 year old man with sickle cell disease (Intern Med 2008;47:2169)
End of Gallbladder > Miscellaneous non-tumor > Choledocholithiasis
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