Abstract
A 35-year-old woman had recurrent abdominal pain in the right upper quadrant. Two similar episodes, one year earlier and one month earlier, had led to imaging studies that detected dilated intrahepatic bile ducts with numerous calculi; removal of stones and sphincterotomy led to the relief of symptoms. She had fever, abdominal tenderness, mildly elevated aminotransferase levels, dilated bile ducts with numerous stones, and possible external compression of the left intrahepatic duct.
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