Results: Over 105 cases of gallstone combined withbile duct stones were operated; 85.71% present with painful episodes of fever, jaundice; 49, 5% jaundice which is an important sign to help to find and detect bile duct stones; 98.1% have leukocyte and erythrocyte sedimentation rate increases; 49.5% with increased total bilirubin; sonographic detection of gallstones 100%, but only 93.33% detection bile duct stones should be combined with CT scanner when find out bile duct dilatation.