A clinical study of obstructive jaundice secondary to choledocholithiasis

This is a study of 20 patients of obstructive jaundice secondary to choledocholithiasis who presented to Shadan Institute of Medical Sciences and Research Centre, Hyderabad, between October 2011 to February 2014. These patients subsequently underwent surgical interventions. All these patients have been thoroughly assessed both pre-operatively and post-operatively as per the proforma. The hospital based incidence of obstructive jaundice secondary to choledocholithiasis was 0.14%. Most of the patients were females with ratio of 16:4. Patients presented with following symptoms in decreasing order of frequency. Jaundice (100%), pain abdomen (95%), dyspepsia/nausea/vomiting (50%), itching (35%), loss of appetite and weight (30%), fever with chills and rigors (25%), steatorrhoea (10%) and mass abdomen (5%) of the cases. The ultrasound detected stones in CBD 16 cases (80%) and dilated CBD in all 20 cases (100%). Choledocholithiasis was found in 11 cases. Choledocholithiasis and cholelithiasis was present in four cases. While one case of choledocholithiasis with CBD stricture was encountered during the study. In all twenty cases cholecystectomy was performed. All the cases were followed up for a varying period from 1-6 months with no complaints.