Abstract

Obstructive jaundice with biliary calculus is one of the most common benign surgical pathologies requiring surgical intervention. Biliary calculus obstructs the flow of bile from the liver and gallbladder into the small bowel and cause pain, jaundice, and sometimes severe infections of the bile duct (cholangitis). Although there are relatively minimal invasive biliary clearance procedures like endoscopic retrograde cholangiopancreatography (ERCP), this technique is usually difficult in patients with stones larger than 10 mm and multiple bile duct stones. In this case we aimed to report a studded multiple biliary ductal calculi (3.5 cm × 2.5 cm) involving Right and Left hepatic duct as well without jaundice, which is unusual presentation in surgical practice.