a 65-year-old female presenting with hepatobiliary cystadenoma (hc) comprised of multiple cysts in the liver and a non-specific epigastric pain is reported herein.  ultrasound study demonstrated dilated common bile duct (cbd) and intrahepatic bile ducts, plus two spherical stone-like bodies filling defects in the proximal cbd. sphincterotomy and basket performed for the patient were not success...

elevated serum level of bilirubin is a common manifestation which is occurred in several diseases. hyperbilirubinemia can manifest either conjugated or unconjugated. conjugated or direct hyperbilirubinemia usually are caused by hepatocellular diseases or cholestatic liver diseases. merely conjugated hyperbilirubinemia is the main manifestation of two congenital syndromes, including dubin-johnso...