Definition and Causes. One of the most common causes of extrahepatic biliary obstruction is choledocholithiasis, with one or more stones in the common bile duct or common hepatic duct causing biliary obstruction.
The pain symptoms associated with CPPS include: 1  Lower back pain. 2  Pelvic pain or pain above the pubic bone. 3  Rectal pain. 4  Perineum pain (area between the anus and the scrotum) 5  Genital pain. 6  Feeling like you are sitting on a tennis ball or a peach pit. 7  Sitting for long periods triggers or exacerbates pain and symptoms.
Central precocious puberty (CPP) is puberty that occurs earlier than normal due to release of hormones from the hypothalamus of the brain. Girls are more likely than boys to have precocious puberty. Puberty may also be accompanied by emotional and mood changes.