PMC7415119_01
Preprocedure sonogram demonstrates echogenic sludge filling the gallbladder and CBD.
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fig1
Ultrasound demonstrated sludge in the gallbladder, intrahepatic biliary duct dilation, and dilated (5 mm) common bile duct (CBD) (Figure 1).
PMC7415119_02
PMC7415119_03
Initial cholecystocholangiogram demonstrates filling defects in the gallbladder and CBD (arrow), with evidence of obstruction and reflux into intrahepatic biliary ducts.
CRIRA2020-8816599.002.jpg
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fig2
Cholecystocholangiography at 17 days of age demonstrated filling defects in the gallbladder and CBD (Figure 2).
Postlavage cholecystocholangiogram shows free flow of contrast into the small bowel, with mild residual narrowing in the region of the ampulla.
CRIRA2020-8816599.003.jpg
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fig3
Following irrigation, there was spontaneous drainage of contrast into the small bowel (Figure 3).