At operation for small bowel intussusception, a 26-year-old man was found to have an enlarged liver and spleen. Subsequent investigations suggested bile passage infection associated with numerous intrahepatic gall-stones but symptomatic cholangitis did not present until 5 months later. Retrograde cholangiography showed cavernous ectasia of the bile ducts which contained gall-stones.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2496362PMC
http://dx.doi.org/10.1136/pgmj.52.612.656DOI Listing

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