Recurrent pyogenic cholangitis with distal common bile duct obstruction

Case contributed by Dr Avni K P Skandhan

Presentation

Chronic right subcostal pain.

Patient Data

Age: 45 years
Gender: Female

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Enlarged liver with decreased echogenicity.

Intrahepatic biliary radicals dilatation with stones.

 Intrahepatic biliary radicals dilatation with intraluminal stones (hepatolithiasis).

Distal common bile duct obstruction with a stone.

Case Discussion

Recurrent pyogenic cholangitis (RPC) is most often seen in Asian countries. There are recurrent infections with presence of intrahepatic ductal calculi. These patients are prone to developing biliary cirrhosis and cholangiocarcinoma.

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