PMC4189069_01
A computerized axial tomography scan: the right parasagittal plane. A giant gallbladder displaces both the right kidney and the anterior abdominal wall.
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The pericholecystitic fat tissue was wiry and contained multiple enlarged lymph nodes (up to 10 mm in size) (Fig. 1).
During the operation: the gallbladder is cut open.
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The sac was cut open to facilitate its further dissection (Fig. 2), and a 3 mm cystic duct was discovered, emptying into the common bile duct, which had a normal outer width of 7 mm.
A computerized axial tomography scan: the right parasagittal plane. A short common channel formed at the level of the duodenal wall is visible to the right.
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The pancreatico-biliary junction was found to be Y-shaped, forming on the level of the duodenal wall (Fig. 3).