Abstract

The prevalence of cholelithiasis in children is rare and a fraction of these will also have concomitant choledocholithiasis. Detection and expeditious management of common bile duct (CBD) stones is critical to avoiding complications, some of which are potentially life threatening. Of concern are obstructive jaundice, recurrent pancreatitis, and ascending cholangitis. The management options for CBD stone are multiple and extraction can be achieved via, open choledochotomy, endoscopic retrograde cholangiography (ERCP) with sphincterotomy, choledochoscopy and percutaneously via trans-hepatic cholangiography (PTC).