Choledocholithiasis: Sensitivity and Specificity

Introduction: Stones in the common bile duct, causing obstruction of bile flow out of the liver. Consequences of this include - besides simply Extrahepatic Biliary Obstruction - Acute Pancreatitis and acute cholangitis.

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Tags: Hepatic Tag this Diagnosis.

Differential Diagnoses include: Extrahepatic Biliary Obstruction

The sensitivity and specificity of findings for Choledocholithiasis are listed below. See the left navigation bar to change the display.

Sensitive and Specific Findings

Finding	Sensitivity	Specificity	Comments, Study
Endoscopic Ultrasound	96%	95%	Differential Diagnosis: Extrahepatic Biliary Obstruction Study: Abdom Imaging. 2008 Jan-Feb;33(1):6-9. PMID: 17874159
MRCP Duplicate	87%	95%	MRCP done with slices <= 3 mm or 3D MRCP Differential Diagnosis: Extrahepatic Biliary Obstruction Study: Abdom Imaging. 2008 Jan-Feb;33(1):6-9. PMID: 17874159
Bile Duct Dilatation	89%	89%	internal bile duct diameter on ultrasonography of less than or equal to 5 mm up to age 50 years, increasing by 1 mm per decade, was considered normal Study: Br J Surg. 1995 Oct;82(10):1371-3 PMID: 7489169