STUDYING THE ABDOMINAL PAIN, JAUNDICE AND FEVER IN SUBJECTS WITH CHOLEDOCHOLITHIASIS

Abstract

Background: Biliary calculus is an uncommon condition in youngsters and is most common in those aged 35 to 55. Its 
frequency increases with age. After the age of 55, the prevalence gradually declines, mostly in women. Usually, 
choledocholithiasis manifests as asymptomatic stones or intermittent blockage. The clinical profile of choledocholithiasis is 
not well documented in the literature.  
Aim: The purpose of this study was to evaluate the clinical characteristics of individuals who had choledocholithiasis. 
Methods: During the research period, all participants who came to the Institute with choledocholithiasis were evaluated for 
two months. A thorough history, physical examination, prior biliary operations, and surgical risk factors were evaluated for 
each participant. Additionally, the patient's age, fever, discomfort, jaundice, cholangitis, pruritis, pale stools, nausea, and 
vomiting were evaluated.  
Results: With the exception of six cases, all research participants had stomach discomfort indicative with biliary colic. Severe 
back-radiating abdominal discomfort that suggested pancreatitis was observed in 10% (n=10) of the individuals. Fever was 
observed in 34% (n=34) of the participants with cholangitis triad, and jaundice was documented in 60% (n=60). In 24% 
(n=24) of the participants with obstructive jaundice, pruritus was seen. There were no asymptomatic research participants.  
Conclusion: The current study comes to the conclusion that the most prevalent symptom among individuals with 
choledocholithiasis, which can range from moderate intermittent biliary colic to pancreatitis, is pain. The majority of the 
participants had fever and jaundice, which were also prevalent indications of choledocholithiasis. Subjects with 
choledocholithiasis also have pancreatitis.