Intraabdominal coccidioidomycosis is a very rare entity and usually respond
s to medical therapy. Operative intervention is reserved for diagnosis or d
rainage of localized collections. With biliary coccidioidomycosis, medical
treatment appears to be ineffective, and biliary tract drainage is necessar
y for optimal management. A case of coccidioidomycosis in the gallbladder a
nd biliary tree is described and the literature reviewed. Copyright (C) 200
1 by W.B. Saunders Company.