Intrahepatic biliary stone

Case contributed by Dr Mostafa El-Feky

Presentation

Right hypochondrium pain and raised serum bilirubin level. History of cholecystectomy with choledochojujenustomy.

Patient Data

Age: 60 years
Gender: Male
MRI

MRCP

Sizable intrahepatic stone (5.5 x 3 cm) casting and extending into the central aspects of the right and left biliary ducts branches bilaterally more marked on the left side associated with marked bilateral intrahepatic biliary dilatation, extending to the common hepatic duct reaching the choleducojujenostomy.

Status post cholecystectomy.

Multiple bilateral renal small simple cysts.

Case Discussion

Features are consistent with large intrahepatic biliary stone with central intrahepatic biliary obstruction. It is a rare condition and most commonly located in large-caliber ducts.

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Case information

rID: 75409
Published: 7th Apr 2020
Last edited: 8th Apr 2020
Inclusion in quiz mode: Included
Institution: Dar El Ashaa Center

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