Post Hepatic Biliary Obstruction| Stones

Etiology

  • Stones from gall bladder migrated to common bile duct
  • Rarely stones impacted in cystic duct can externally compress CBD (Mirizzi Synd)

Risk Factors

  • Gallstones

Symptoms

  • N
  • V
  • Upper abdominal pain
  • Sepsis if infection proximal to the stones
  • Pancreatitis symptoms if also obstructs pancreatic duct
  • Can also cause painless jaundice

Physical Exam Findings

  • Jaundice
  • Icterus
  • Bilirubinuria
  • Light colored stools
  • Sometimes pain w/palpation
  • Sometimes F and findings of sepsis