Contents

SynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyDrug Reaction DataReferences

Information for Patients

View all Images (18)

Biliary calculus
Print Captions
Other Resources UpToDate PubMed

Biliary calculus

Print Patient Handout Images (18)
Contributors: Michael W. Winter MD, Nishant H. Patel MD, Desiree Rivera-Nieves MD, Khaled Bittar MD
Other Resources UpToDate PubMed

Alerts and Notices

Synopsis

Biliary calculus : Alkaline phosphatase elevated, Epigastric pain, Hyperbilirubinemia, RUQ pain
Hardened crystal deposits formed from bile pigments, cholesterol, and calcium salts found in the bile duct (choledocholithiasis) or gallbladder (cholecystolithiasis). Commonly called gallstones, they are characterized by severe right upper quadrant abdominal pain or epigastric pain due to transient obstruction of the biliary tract. Other symptoms include nausea, vomiting, hyperbilirubinemia, and elevated alkaline phosphatase and gamma-glutamyl transpeptidase. Gallstones most typically occur in females in the fourth decade of life. They are increased during pregnancy, although they are relatively common and can occur in patients of all ages and across many demographics.

Treatment depends on size, location, and symptoms. Gallstones may end up in the duodenum or pylorus, which may result in gastric outlet obstruction (Bouveret syndrome). Common treatments are stone removal by endoscopic retrograde cholangiopancreatography, sphincterotomy, biliary stenting, and cholecystectomy. Goals of therapy are to prevent recurrent episodes of biliary colic and lower the risk of developing choledocholithiasis, cholangitis, and gallstone pancreatitis.

Codes

ICD10CM:
K80.20 – Calculus of gallbladder without cholecystitis without obstruction

SNOMEDCT:
266474003 – Calculus in biliary tract

Look For

Subscription Required

Diagnostic Pearls

Subscription Required

Differential Diagnosis & Pitfalls

Best Tests

Subscription Required

Management Pearls

Subscription Required

Therapy

Subscription Required

Drug Reaction Data

Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.

Subscription Required

References

Subscription Required

Last Updated:05/18/2020
Copyright © 2023 VisualDx®. All rights reserved.
Biliary calculus
Captions Print   Filter Images View all Images (18)
(with subscription) Reset
A medical illustration showing key findings of Biliary calculus : Alkaline phosphatase elevated, Epigastric pain, Hyperbilirubinemia, RUQ pain
Imaging Studies image of Biliary calculus - imageId=7878647. Click to open in gallery. caption: '<span>Ultrasound of the right upper quadrant demonstrating echogenic foci with shadowing in the gallbladder consistent with cholelithiasis.</span>'
Ultrasound of the right upper quadrant demonstrating echogenic foci with shadowing in the gallbladder consistent with cholelithiasis.

+16 More images of Biliary calculus with subscription

Copyright © 2023 VisualDx®. All rights reserved.