Patient question: disease: multiple stones in liver and gallbladder. Description of disease: In April 2014, my mother strained and had abdominal pain, fever and chills for many days. Previous treatment and effects: 2014.4 went to the People’s Hospital for examination, the results of the liver and gallbladder multiple stones, I do not quite understand the details, but also ask the doctor to look at the examination information I passed, thank you! Hope to provide help: Hello doctor! At that time, the doctor told my mother that she should have an operation, but she has not operated since. My mother has not had any pain since then, so she doesn’t want to go for surgery. Do you think my mom should have surgery for this condition? Is the pain related to overexertion? Is it life-threatening without surgery? Thank you, doctor! My family is anxious! Reply from Peng Zhihai, Department of General Surgery, Shanghai First People’s Hospital: Hello. According to the information provided, the diagnosis should be “intra- and extra-hepatic bile duct stones and acute cholangitis”. The right intrahepatic bile duct stone can be left untreated, but the common bile duct stone must be treated, otherwise it will recur. Treatment can be either multiple endoscopic treatment with ERCP or surgical choledochotomy to remove the stone + T-tube drainage. Please come to the clinic to decide the details.