PMC7641679_01
Axial CT of the abdomen with contrast at the level of the junction of the right and left hepatic ducts demonstrates an 11 mm hyperdensity likely representing a calculus (arrow). This finding is confirmed on the coronal image (arrow) in Figure 2.
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fig1
There were multiple hyperdensities within the bile ducts particularly at the junction of the right and left hepatic ducts in addition to the distal CBD, consistent with choledocholithiasis (Figures 1-3).
Coronal CT of the abdomen with contrast demonstrates 11 mm hyperdensity likely representing a calculus at the origin of the common bile duct (arrow).
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fig2
There were multiple hyperdensities within the bile ducts particularly at the junction of the right and left hepatic ducts in addition to the distal CBD, consistent with choledocholithiasis (Figures 1-3).
Axial CT of the abdomen with contrast demonstrates intrahepatic biliary dilatation.
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fig3
There were multiple hyperdensities within the bile ducts particularly at the junction of the right and left hepatic ducts in addition to the distal CBD, consistent with choledocholithiasis (Figures 1-3).
ERCP images demonstrate multiple filling defects (green arrows) within the common bile duct with moderate dilatation of the extra- and intrahepatic biliary tree. A complete sphincterotomy was performed, and multiple black pigmented stones were removed.
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fig4
An ERCP confirmed the presence of stones within the bile ducts with multiple pigmented black stones removed (Figure 4).