PMC5253495_01
Cholangiogram demonstrating filling defects representative of biliary stones (arrows) present in the common bile duct.
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fig1
Magnetic resonance cholangiopancreatography and cholangiogram revealed biliary obstruction, with intrahepatic biliary duct dilatation, due to the presence of biliary stones in the main bile duct and near the biliary-enteric anastomosis (Figure 1).
Serum bilirubin, creatinine, and tacrolimus concentrations and total daily tacrolimus dosage throughout patient admission.
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fig2
On admission day 2, her serum creatinine and trough blood tacrolimus concentrations rose markedly to 2.77 mg/dL and 45 ng/mL, respectively, in the absence of any new medications apart from her antibiotics (Figure 2).