PMC9399461_01
(A) MRCP demonstrated that neoplasm was in the distal common bile duct. (B) Duodenoscopy showed that the biliary stent was filled and blocked by tumor tissue and bile mud.
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Redoing MRCP suggested that neoplasm was in the distal common bile duct, with a size of approximately 19 mmx16 mmx30 mm ( Figure 1A ) and common hepatic artery invasion. ERCP showed that the biliary stent was filled and blocked by tumor tissue and bile mud ( Figure 1B ).
Curve of bilirubin change.
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Up to now, the patient has no jaundice ( Figure 2 ) and has good spirit and physical strength.