HUGE COMMON BILE DUCT STONE;REPORT OF A CASE`

Presentation A 50-year-old female presented with vague upper abdominal pain in relation to food for 3 months duration with newly developed low grade fever and increasing intensity of pain. On examination, she was of good built with a clear, albeit mild, tinge of jaundice. Her abdomen was soft with tender right hypochondrium. Neither Murphy sign nor other related findings were detected. Pulse rate was 90 beats per minute, temperature 37.5 C and blood pressure 130/90 mmHg. Her Investigations were, Hb=105 g/L, WBC=7 x 10 9 , platelets=450 x 10 9 , ESR= 60 mm/h, RBS= 5.1mmol/L, blood urea nitrogen (BUN)=6.6 mmol/L, total serum bilirubin=50 micromol/L, alkaline phosphatase=102 U/L, SGOT= 20, SGPT=22 and clotting profile within control values. Abdominal ultrasound (US) revealed a solitary gall stone (2 x 2 cm), dilated common bile duct (CBD) (2.7 cm) with a