{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T17:28:03Z","timestamp":1788456483024,"version":"build-2803163510"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T00:00:00Z","timestamp":1746144000000},"content-version":"vor","delay-in-days":3,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,4,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Choledocholithiasis, the presence of stones within the common bile duct (CBD), poses significant therapeutic challenges, especially when stones exceed 15\u00a0mm in diameter. Large CBD stones can lead to complications such as biliary obstruction, cholangitis, and pancreatitis. Endoscopic retrograde cholangiopancreatography (ERCP) is the first-line treatment; however, surgical intervention may be required for refractory cases. We present a case of a 50-year-old female with a giant CBD stone measuring 6\u2009\u00d7\u20094\u2009\u00d7\u20094\u00a0cm, managed successfully via open CBD exploration and T-tube placement after failed endoscopic extraction. This case underscores the importance of tailored management strategies for complex biliary stone disease. While ERCP remains the gold standard, open CBD exploration remains a viable option for large, impacted stones.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf264","type":"journal-article","created":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T04:47:08Z","timestamp":1746161228000},"source":"Crossref","is-referenced-by-count":3,"title":["Large common bile duct stone: a case report"],"prefix":"10.1093","volume":"2025","author":[{"given":"Sadiq","family":"Husain","sequence":"first","affiliation":[{"name":"Department of Surgery, JNMCH, AMU , Medical Road, Zakariya Market, Aligarh 202002, Uttar Pradesh ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yogesh","family":"Rawat","sequence":"additional","affiliation":[{"name":"Department of Surgery, JNMCH, AMU , Medical Road, Zakariya Market, Aligarh 202002, Uttar Pradesh ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohd Sadik","family":"Akhtar","sequence":"additional","affiliation":[{"name":"Department of Surgery, JNMCH, AMU , Medical Road, Zakariya Market, Aligarh 202002, Uttar Pradesh ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarthak","family":"Kulshrestha","sequence":"additional","affiliation":[{"name":"Department of Surgery, JNMCH, AMU , Medical Road, Zakariya Market, Aligarh 202002, Uttar Pradesh ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,5,2]]},"reference":[{"key":"2025050200470395300_ref1","first-page":"CD003327","volume":"2","author":"Gurusamy","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"2025050200470395300_ref2","first-page":"59","article-title":"Giant common bile duct stone","volume":"7","author":"Han","year":"2012","journal-title":"Central Eur J Med"},{"key":"2025050200470395300_ref3","doi-asserted-by":"publisher","first-page":"1075","DOI":"10.1016\/j.gie.2018.10.001","article-title":"ASGE guideline on the management of choledocholithiasis","volume":"89","author":"Buxbaum","year":"2019","journal-title":"Gastrointest Endosc"},{"key":"2025050200470395300_ref4","first-page":"605","article-title":"Endoscopic papillary large balloon dilation versus endoscopic sphincterotomy for bile duct stones: a systematic review and meta-analysis","volume":"90","author":"Park","year":"2019","journal-title":"Gastrointest Endosc"},{"key":"2025050200470395300_ref5","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1002\/jhbp.504","article-title":"Tokyo Guidelines 2018: management strategies for gallbladder and bile duct stones","volume":"25","author":"Mori","year":"2018","journal-title":"J Hepatobiliary Pancreat Sci"},{"key":"2025050200470395300_ref6","volume-title":"Schwartz\u2019s Principles of Surgery","author":"Brunicardi","year":"2019"},{"key":"2025050200470395300_ref7","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1016\/0002-9610(77)90359-2","article-title":"Congenital bile duct cysts: classification, operative procedures, and review of 37 cases","volume":"134","author":"Todani","year":"1977","journal-title":"Am J Surg"},{"key":"2025050200470395300_ref8","doi-asserted-by":"publisher","first-page":"1004","DOI":"10.1136\/gut.2007.121657","article-title":"Guidelines on the management of common bile duct stones (CBDS)","volume":"57","author":"Williams","year":"2008","journal-title":"Gut"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/5\/rjaf264\/63039675\/rjaf264.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/5\/rjaf264\/63039675\/rjaf264.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T04:47:10Z","timestamp":1746161230000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf264\/8123649"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,29]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,4,29]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf264","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,5]]},"published":{"date-parts":[[2025,4,29]]},"article-number":"rjaf264"}}