title: Single gigantic calculus of common bile duct and multiple hepatolithiasis.
abstract: Choledocholithiasis is a very common surgical disease worldwide. Reports of a single calculus of the common bile duct >10 cm are very rare. The authors present a case of a single gigantic calculus in the common bile duct with multiple stones distributing in the left intrahepatic ducts. The patient was treated with left hemihepatectomy combined with Roux-en-Y hepaticojejunostomy, and the postoperative course was uneventful. Left hemihepatectomy combined with Roux-en-Y hepaticojejunostomy was the optimal treatment for this patient, with a satisfactory outcome.
authors.affiliation: Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
authors.forename: Yiping
authors.initials: Y
authors.lastname: Mou
authors.forename: Huijiang
authors.initials: H
authors.lastname: Zhou
authors.forename: Bin
authors.initials: B
authors.lastname: Xu
mesh_terms: D000713:Anastomosis, Roux-en-Y; D001653:Bile Ducts, Intrahepatic; D042883:Choledocholithiasis / Q000175:diagnosis / Q000601:surgery; D002769:Cholelithiasis / Q000175:diagnosis / Q000601:surgery*; D003135:Common Bile Duct; D005260:Female; D006498:Hepatectomy; D006801:Humans; D008107:Liver Diseases / Q000175:diagnosis / Q000601:surgery*; D008875:Middle Aged; D011171:Portoenterostomy, Hepatic