Rare primary intrahepatic lithiasis in young patient

Intrahepatic lithiasis (IHL) is a disease that occurs in middle-aged and elderly people. Presentations of IHL young are rare considerations the differential diagnosis include primary sclerosing cholangitis, recurrent pyogenic bile acid transporter defect, Caroli's other known genetic diseases. Treatment often complex, all order to prevent complications. In this report, we describe treatment, with application flexible ureteroscope 4 Fr, younger patient intrahepatic lithiasis. Case report. A 25-year-old man appeared attack abdominal pain required medical treatment. Magnetic resonance imaging abdomen showed segmental stenosis left duct for lateral section intraductal calculi its proximal dilatation mild ducts liver segments two three. During surgery, cholangiography ultrasonography were performed. Through choledochotomy flushed extirpation several was Inspection done choledochscope, remaining concrements removed ureteroscope. Conclusion. Segmental may be explored ureteroscope, without injury or trauma. selected cases, isolated one lobe absence concomitant diseases, can treated surgically resection. This case unique because did not perform resection but stone extraction which appropriate treatment since there no recurrence during 2-year follow-ups.