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Abstract Choledico-lithiasis is the most COMMON cause of obstruct:. ve j au..TJ.dice and extrahepatic cholestasis in many reported series {Pantes et al., 1986). Ultrasound is the modality of choice for the diagnosis of chole-lithiasis, and for the evaluation of intra and extra hepatic biliary tree in patient with j au..”’l.dice. But its role in the diagnosis of choledocholithiasis is less cer’”:ain. E:ld.csccpic retrog~acie cholangiogo-pa:nc::-ea~ograpt.y :.s ~he diagnostic standard for comparison, is more se~sitive in the diag:1osis of choledocho-lithiasis, ultra sound was not {Grosset al., 1991). Almost all stones are formed in the gall bladder, But occasionally stone :forrn.a::ion may occur within tl1e ma:_n Ducts or intrahepatic calculi. Radiology is the most valuable met~od of i::vestigation, E.R.C.P is recorr.mended in early phase be~ause of its ~~ghly se~sitive diagnostic value and therapeu~ic potential (Summerfield J.A., 1988). |