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6) The differential diagnosis includes primary sclerosing cholangitis and recurrent pyogenic cholangitis, though both of these conditions usually cause stricturing and dilatation of both the intra- and extrahepatic biliary tree, in contrast to Caroli's disease, which affects only intrahepatic ducts.
Chronic clonorchiasis may be complicated with gallbladder and intrahepatic duct stones, recurrent pyogenic cholangitis, cholecystitis, liver abscess, and cholangiocarcinoma (5).