Intraheptic stones are found in about 10% of all biliary calculous diseases in Korean population.
There are two types of intrahepatic stones, and primary type is most often confined in left lobe of the liver and often associated with stricture of the left hepatic duct immediately above the common hapatic duct bifurcation.
The diseases are most commonly seen in young- female with long history of illness, and when compared with general gall stone group, incidence of jaundice, hepatomegaly, chills and fever are significantly higher.
Management is most difficult and grossly unsatisfactory; hepatic lobectomy, when it is con fined to one liver lobe, is the only certain cure.for those few to whom the procedure is applicable. Although many types of drainage procedures have been tried, end to end Roux-en-Y choledochojejunostoiny appears to offer best chance when it is performed in patients whose common bile duct is large (more than 20mm in D.), stones are bilateral and intrahepatic ducts are free of stricture.
Incidence of residual and or recurrent intrahepatic stones are approximately 50%. And 2 major couse of death at the end of natural course of the disease are biliary cirrhosis and sepsis. In cluding multiple progeine liver abscess.
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