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Common Bile Duct Stone Removal, X-Ray Guided, with Contrast

Published: August 9, 2026Updated: August 16, 2026

An image-guided procedure using X-rays and contrast to locate and remove a stone from the common bile duct.

Quick summary

["This procedure is used to remove a common bile duct stone that may be blocking bile flow."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
46334-9
Short code
Deprecated CBD XR Stone rem guid W contr
Synonyms
Deprecated CBD XR Stone rem guid W contr
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
xr
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

This is a procedure in which X-ray imaging and contrast material help the clinician locate a stone in the common bile duct and guide its removal. Contrast makes the bile duct easier to see on images.

Why might I need this test?

It may be recommended when a stone is blocking the common bile duct and causing symptoms such as jaundice, abdominal pain, fever, nausea, or vomiting. Treatment may also be needed if the blockage increases the risk of infection or other complications.

How is the test performed?

A clinician inserts instruments through the digestive tract and uses imaging to identify the stone and remove it, sometimes by retrieving it or breaking it into smaller pieces. The procedure is usually performed with sedation or anesthesia, and the team uses X-rays to guide the instruments.

How do I prepare for the test?

Follow the care team's instructions about fasting, medications, and the timing of the procedure. Tell the clinician about kidney disease, previous contrast reactions, iodine or shellfish allergies, pregnancy, bleeding problems, and all medicines or supplements you use.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

The procedure may confirm the presence and location of a common bile duct stone and allow treatment of a blockage. Successful removal can restore bile flow and reduce the risk of infection or worsening symptoms. Temporary abdominal discomfort, nausea, or mild inflammation can occur, and the clinician should explain the procedure-specific risks.

Short name

Common bile duct stone removal

Frequently asked questions

Is this a blood test or an imaging-guided procedure?
It is an imaging-guided procedure rather than a blood test. X-rays and contrast are used to help locate the stone and guide removal.
Why is contrast used?
Contrast helps the bile duct and nearby structures appear clearer on X-ray images. Inform the care team about any previous contrast reaction or kidney disease before the procedure.
Will I need anesthesia for this procedure?
Sedation or anesthesia is commonly used because the procedure may be uncomfortable. The care team will explain what to expect and how you will be monitored afterward.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy