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Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
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Rare recurrence of common bile duct calculi post T-tube cholangiography: A case report

Zi-Heng Ren1,2, Yuan-Yuan Gao2, Qiang Lu3

  • 1Department of Graduate Student, Xizang Minzu University, Xianyang 712000, Shaanxi Province, China.

World Journal of Clinical Cases
|July 17, 2025
PubMed

Insights

Early recurrence of common bile duct (CBD) stones after T-tube cholangiography is rare but possible. Vigilance is key for clinicians managing patients with choledocholithiasis.

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Biliary System Imaging

Background:

  • Common bile duct (CBD) calculi recurrence within 30 days post-T-tube cholangiography is exceptionally uncommon.
  • Choledocholithiasis management often involves T-tube placement and cholangiography for assessment.

Observation:

  • A case of choledocholithiasis with a large CBD stone (1.2 cm × 0.9 cm) and microstones was identified 30 days post-T-tube cholangiography.
  • Magnetic resonance cholangiopancreatography showed dilated intrahepatic and extrahepatic bile ducts, with CBD measuring up to 2 cm.

Findings:

  • The patient underwent successful laparoscopic exploration and Roux-en-Y choledochojejunostomy.
  • Despite the rarity, early postoperative recurrence of CBD stones occurred.

Implications:

  • This case highlights the importance of clinical vigilance for early postoperative recurrence of choledocholithiasis.
  • It emphasizes the need for thorough evaluation and potential re-intervention in select cases of biliary calculi.
Abstract

Keywords:
Case reportCholedocholithiasisCommon bile duct stonesEarly recurrenceT-tube cholangiography

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