PMC6083534_01
(a) ERCP with cholangiogram showing dilated common bile duct (pointed black arrow) with prepapillary common bile duct stricture (arrow head). (b) Ampullary biopsy (x100) showing submucosal Brunner's glands showing nucleomegaly with eosinophilic intranuclear and basophilic cytoplasmic inclusion bodies (pointed black arrow) of CMV.
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fig1
All these features were suggestive of AIDS cholangiopathy (Figure 1(a)). Cells of submucosal Brunner's glands showed nucleomegaly with eosinophilic intranuclear and basophilic cytoplasmic CMV inclusions (Figure 1(b)).
(a) ERCP with cholangiogram with normal CBD and no residual stricture at its lower end. (b) Repeat ampullary biopsy with normal papillary architecture and no CMV inclusion bodies.
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Repeat ERCP revealed normal cholangiogram with no residual stricture in lower CBD, with normal papilla (Figure 2(a)). Cells from ampullary biopsies did not reveal intranuclear/cytoplasmic CMV inclusions (Figure 2(b)).