Intrahepatic gallstones. A case report
du Toit, D.F.; Retief, A.; Laker, L.; Warren, B.; van Zyl, J.A.
South African Medical Journal 67(2): 65-66
1985
ISSN/ISBN: 0256-9574 PMID: 3966192 Document Number: 256375
A Coloured woman was admitted to hospital with a 3-day history of acute right upper abdominal pain, nausea and vomiting. Acute cholecystitis was confirmed by biliary imaging using technetium-99m. An acutely inflamed gallbladder and two pigment stones in the common bile duct were removed. There were numerous retained gallstones in biliary radicles of the right hepatic duct; attempts to dislodge these by saline flushing failed. An extended choledochotomy with further exploration of the intrahepatic radicles also failed to remove the incarcerated stones. Biliary enteric drainage was achieved by choledochoduodenostomy and short-term postoperative progress was uneventful.