Presentation of Case A 52-year-old man was admitted to the hospital with a diagnosis of Caroli's disease associated with recurrent obstructive jaundice, fever, and bacteremia. He was well until 28 years earlier, when jaundice developed. A liver biopsy, performed elsewhere, was complicated by perforation of the common bile duct, and an emergency cholecystectomy and choledochoduodenostomy were performed. The patient was well thereafter except for occasional brief bouts of jaundice, accompanied by the passage of dark urine and light stools that were usually associated with an upper respiratory tract infection, which was rarely accompanied by fever and never required admission to.
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