Endoscopic papillotomy in Caroli's disease twenty-year follow-up of a previously reported case.

A patient diagnosed in 1963 as having congenital dilation of intrahepatic bile ducts, presented in 1982 with common bile duct lithiasis. Endoscopic papillotomy and stone extraction were followed by an unusual complication, hiccups lasting one week. We suggest that endoscopic papillotomy should be considered in selected patients with Caroli's disease. Typical and atypical features of this case presentation are discussed.