Recurrent Hepatolithiasis and Hepatic Abscess Secondary to Caroli’s Disease – Case Report

Abstract Background Hepatolithiasis is the presence of gallstones in the intrahepatic ducts due to primary, idiopathic or infectious causes (lithogenic bile) or secondary causes such as congenital cysts and strictures or past hepatobiliary surgery. Typically, hepatolithiasis patients presents with the Charcot’s triad (abdominal pain, jaundice, fever) suggestive of cholangitis. It is not uncommon for severe cholangitis to be accompanied with a hepatic abscess. The treatment consists in supportive measures for cholangitis, subsequent stone extraction and surgical removal of strictures and bile drainage. Patients should be closely monitored because of the high risk of recurrence, liver cirrhosis or cholangiocarcinoma.