Intrahepatic biliary stones

Case contributed by Dr Ahmed Samir Mehany

Presentation

Road traffic accident

Patient Data

Age: 60 years
Gender: Male
CT
  • Multiple stones seen inside the left main hepatic bile duct the largest measures 15 x 22 mm, smaller stones more distally causing dilatation of the duct with mild atrophy of the left hepatic lobe, minimally dilated right intrahepatic bile ducts.

  • A tiny calcified focus at the subcapsular right hepatic lobe segment 8, likely old calcified granuloma, otherwise no hepatic focal lesions.

  • No dense GB stones or pericholecystic fluid. 

  • Complete impacted fracture of the neck of the left femur.

Case Discussion

The finding of multiple left-sided intrahepatic biliary stones was an incidental finding in this patient after a road traffic accident.

The patient is tilted on the CT table due to a left femoral fracture.

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Case information

rID: 63350
Published: 30th Sep 2018
Last edited: 30th Sep 2018
Inclusion in quiz mode: Included

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