Can MRCP detect intrahepatic bile duct stones?

Written by Liu Wu Cai

Hepatobiliary Surgery

Updated on March 11, 2025

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Patients with intrahepatic bile duct stones can undergo MRCP examination. For patients with intrahepatic bile duct stones, in addition to being noticeable in ultrasound, CT, and MRI examinations, MRCP can also be performed, and it is also a method of treatment. Moreover, whether treatment is needed for patients with intrahepatic bile duct stones mainly depends on the symptoms. For asymptomatic patients with intrahepatic bile duct stones, if the stones are relatively small in size, no special treatment is necessary. Avoiding spicy and irritating foods in the diet to reduce inflammatory stimuli can help manage the condition. However, for patients with larger intrahepatic bile duct stones, acute cholangitis may occur, presenting as significant upper abdominal pain. In such cases, early surgical intervention should be considered for treatment.

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Written by Liu Wu Cai

Hepatobiliary Surgery

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Is dandelion useful for intrahepatic bile duct stones?

Dandelion has no effect on intrahepatic bile duct stones. For patients with intrahepatic bile duct stones, if the stones are small, generally there are no obvious symptoms at this time, and no special treatment is needed. It is possible to periodically review with color ultrasound to dynamically observe the change in size. Of course, spicy and irritating foods should be avoided in the usual diet to reduce inflammatory stimulation, and eating more fresh vegetables and fruits can better control the development of the condition. For patients with larger intrahepatic bile duct stones, there might be complications such as acute cholangitis, characterized by severe pain and jaundice. Therefore, in such severe cases, early surgical treatment should be considered.

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Written by Liu Wu Cai

Hepatobiliary Surgery

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Multiple intrahepatic bile duct stones

Multiple intrahepatic bile duct stones are a description used in imaging studies such as ultrasound and CT, meaning there are multiple stones within the intrahepatic bile ducts. Particularly in cases where there is recurrent upper right abdominal pain, the appearance of jaundice, chills, and high fever, it is important to pay attention and consider early surgical treatment. The main surgical approach is laparoscopic choledocholithotomy, which can completely treat the condition by removing the stones. Additionally, for patients with intrahepatic bile duct stones, it is also important to avoid spicy and irritating foods in their diet to reduce inflammatory irritation and better promote recovery from the condition. The diet should primarily consist of light meals, and eating fresh vegetables and fruits can better facilitate relief from the condition.

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Written by Liu Wu Cai

Hepatobiliary Surgery

55sec

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What are the sequelae of liver resection for intrahepatic bile duct stones?

Patients with intrahepatic bile duct stones do not have significant sequelae after liver resection because the area of the liver removed during the surgery is relatively small, generally not causing significant effects. Furthermore, for patients with intrahepatic bile duct stones, the main treatment involves making an incision in the bile duct to remove the stones, which can completely cure the condition, and patients can typically recover within about seven days after the surgery. Since the procedure is mainly performed using laparoscopy, it has the advantages of smaller incisions, less damage, and faster recovery. Therefore, postoperative recovery is relatively good. At this time, patients can also avoid spicy and irritating foods in their diet to reduce inflammatory irritation, better promoting recovery from the condition. There are no significant sequelae after the resection.

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Written by Liu Wu Cai

Hepatobiliary Surgery

50sec

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Does Jin Qian Cao expel gallstones from the liver's bile ducts?

This method cannot eliminate intrahepatic bile duct stones. The treatment for intrahepatic bile duct stones mainly depends on the symptoms. For patients with intrahepatic bile duct stones who do not have significant symptoms and whose stones are relatively small, no special treatment is required. Avoiding spicy and irritating foods in the diet can reduce inflammatory stimuli and better control the condition. Regular follow-up with ultrasonography is sufficient. However, for patients with larger intrahepatic bile duct stones, acute cholangitis may occur, presenting with significant upper abdominal pain. In such cases, proactive treatment is necessary. The treatment mainly involves surgery, which can significantly improve the prognosis and potentially cure the condition.

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Written by Liu Wu Cai

Hepatobiliary Surgery

1min 1sec

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Do intrahepatic bile duct stones fear cold?

Patients with intrahepatic bile duct stones can possibly experience chills. This is because patients with intrahepatic bile duct stones often have concurrent cholangitis, which manifests as chills, high fever, prominent upper abdominal pain, and jaundice. In severe cases, it can even lead to acute suppurative cholangitis, septic shock, and death. Therefore, for patients with intrahepatic bile duct stones presenting with significant symptoms, early surgical treatment is advised. Surgery involves opening the bile duct to remove the stones, which can be curative. Post-surgery, it is still necessary to avoid spicy and irritating foods, such as peppers, barbecues, and garlic, and to mainly consume a bland diet with plenty of fresh vegetables and fruits to facilitate recovery. After recovery, patients generally do not experience significant discomfort.