Ren ZH, Gao YY, Lu Q, Yao YM, Wan Y. Rare recurrence of common bile duct calculi post T-tube cholangiography: A case report. World J Clin Cases 2025; 13(20): 102695 [DOI: 10.12998/wjcc.v13.i20.102695]
Corresponding Author of This Article
Yong Wan, MD, Department of Geriatric Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, No. 277 West Yanta Road, Xi’an 710100, Shaanxi Province, China. rareyong@qq.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jul 16, 2025; 13(20): 102695 Published online Jul 16, 2025. doi: 10.12998/wjcc.v13.i20.102695
Rare recurrence of common bile duct calculi post T-tube cholangiography: A case report
Zi-Heng Ren, Yuan-Yuan Gao, Qiang Lu, Ying-Min Yao, Yong Wan
Zi-Heng Ren, Department of Graduate Student, Xizang Minzu University, Xianyang 712000, Shaanxi Province, China
Zi-Heng Ren, Yuan-Yuan Gao, Department of General Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710100, Shaanxi Province, China
Qiang Lu, Ying-Min Yao, Yong Wan, Department of Geriatric Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710100, Shaanxi Province, China
Author contributions: Ren ZH collected and analyzed the clinical data, drafted and revised the manuscript, and prepared the figures; Gao YY and Lu Q provided literature support; Yao YM provided expert guidance on the diagnostic imaging interpretation and contributed to the discussion section; Wan Y performed the surgical procedure as the lead surgeon and supervised the study; and all authors read and approved the final manuscript.
Supported by the Key Research and Development Program of Shaanxi Province, China, No. 2021GXLH-Z-100.
Informed consent statement: Informed consent was obtained from the patient for publication of this case report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yong Wan, MD, Department of Geriatric Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, No. 277 West Yanta Road, Xi’an 710100, Shaanxi Province, China. rareyong@qq.com
Received: October 28, 2024 Revised: February 24, 2025 Accepted: March 13, 2025 Published online: July 16, 2025 Processing time: 165 Days and 17.2 Hours
Abstract
BACKGROUND
Recurrence of common bile duct (CBD) calculi within 30 days following T-tube cholangiography is exceedingly rare.
CASE SUMMARY
This article details an instance of choledocholithiasis involving a 1.2 cm × 0.9 cm stone located in the lower and middle segments of the CBD, identified 30 days after T-tube cholangiography, accompanied by multiple microstones. Magnetic resonance cholangiopancreatography revealed dilation of both intrahepatic and extrahepatic bile ducts, with the widest segment of the CBD measuring approximately 2 cm. The patient underwent laparoscopic choledochal exploration followed by choledochojejunostomy using the Roux-en-Y technique.
CONCLUSION
Although recurrence of choledocholithiasis within such a short postoperative period is exceedingly uncommon, this case underscores the necessity for clinicians to remain vigilant regarding the potential for early postoperative recurrence.
Core Tip: Thirty days subsequent to undergoing T-tube cholangiography following common bile duct (CBD) exploration and cholecystectomy, a patient was diagnosed with recurrent CBD stones by magnetic resonance cholangiopancreatography. Despite the rarity of CBD stone recurrence within such a brief postoperative interval, this case underscores the imperative for clinicians to remain highly vigilant concerning the potential for early postoperative recurrence.
