A RARE CASE OF RIGHT HEPATIC DUCT CALCULUS

Biliary tract stones may be present in the Gallbladder, Extrahepatic duct or Intrahepatic duct (hepatolithiasis). The ordinary cholelithiasis can be treated successfully by open or laparoscopic cholecystectomy and choledochotomy or in combination with endoscopic clearance of stone. In the major surgical centers, the operative mortality is 1 percent, thus operative and endoscopic intervention has become quite safe. However, when stones are present in the intrahepatic bile duct, the situation is totally different. Instead of a smooth postoperative course without recurrence, multiple operative and endoscopic interventions are usual than exceptional. If such interventions are not quite successful, the patients might succumb to hepatic damage caused by long standing obstructive jaundice, recurrence cholangitis and multiple liver abcess, portal hypertension sepsis and some may develop cholangio carcinoma.