Intrahepatic biliary stones

Case contributed by Dr Subash Thapa

Presentation

Pain in the right hypochondrium, fever, and raised serum bilirubin level.

Patient Data

Age: 35 years
Gender: Male
Modality: Ultrasound

There are multiple echogenic structures of various sizes in the intrahepatic biliary ducts with posterior acoustic shadow. There is dilation of intrahepatic biliary ducts.

Modality: Annotated image

Annotated image with arrows indicating position of the intrahepatic stones. 

Case Discussion

Intrahepatic biliary stones are rare; it is common among patient with recurrent pyogenic cholangitis 1.

Other conditions associated are underlining biliary anomalies such as Caroli’s disease, biliary atresia, or cystic fibrosis or previous biliary surgery.

Common location of stone is in large-caliber ducts mostly in left hepatic lobe or posterior segment of the right hepatic lobe 1.

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Case Information

rID: 40300
Case created: 16th Oct 2015
Last edited: 8th Aug 2016
Inclusion in quiz mode: Included

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