PMC116430_01
ERCP during the first episode of cholangitis This ERCP was performed during the first episode of cholangitis. There are multiple abcesses in connection with the biliary tree and several stones.
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F1
ERCP (Figure 1) showed pus draining from the papillary orifice, multiple abcesses in connection with the biliary tree and several stones.
ERCP performed two weeks later This ERCP was performed two weeks after the first ERCP. The left and right hepatic ducts are narrowed.
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F2
After two weeks ERCP (Figure 2) demonstrated narrowing of the left and right main hepatic ducts which was not present on the previous examinations.
ERCP after 10 months This ERCP was performed ten months after the first ERCP. Hilar biliary stenoses and multiple filliform strictures of segmental intrahepatic ducts, associated with peripheral bile duct dilatation are shown.
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F3
Ten months after the initial presentation the patient had a third episode of cholangitis; ERCP (Figure 3) then showed hilar biliary stenoses as well as multiple filliform strictures of segmental intrahepatic bile ducts associated with peripheral duct dilatation.