Presentation
Pain in the right hypochondrium, fever, and raised serum bilirubin level
Patient Data
There are multiple echogenic structures of various sizes in the intrahepatic biliary ducts with posterior acoustic shadowing. There is dilation of intrahepatic biliary ducts.
Annotated image with arrows indicating the position of the intrahepatic stones.
Case Discussion
Intrahepatic biliary stones are rare; it is common among patients with recurrent pyogenic cholangitis 1. Other conditions associated are underlining biliary anomalies such as Caroli disease, biliary atresia, cystic fibrosis or previous biliary surgery.
The most common location of stones is in large-caliber ducts, mostly in the left hepatic lobe or posterior segment of the right hepatic lobe 1.
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