Case contributed by Dr Ian Bickle


Fever. Deranged liver function tests. CRP rising.

Patient Data

Age: 45
Gender: Male

Multiple stones upto 8mm in the upper/mid common bile duct.

The CBD is dilated measuring 12mm.

Annotated image

The key anatomy and pathology at the porta hepatis is labeled.

Case Discussion

The appearances of the porta hepatis ( portal vein, hepatic artery and common bile duct) are well iluustrated.

The CBD is dilated from the porta, with a number of obstructing stones in the mid CBD.

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