PMC8553500_01
MRCP:choledocholithiasis; no signs of common bile duct dilation and normal intrahepatic bile ducts.
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fig1
MRCP showed choledocholithiasis, no signs of common bile duct dilation, and normal intrahepatic bile ducts (Figure 1).
CT:free air around the duodenum in level of the papilla around the liver and visible retroperitoneum around the liver.
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On CT, free air was found around the duodenum in level of the papilla in the retroperitoneum and around the liver equaling pneumoperitoneum and pneumoretroperitoneum (Figure 2).
CT-free contrast around the gastric fundus and spleen.
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Free contrast was found around the gastric fundus (Figure 3), paracolical, and pelvis, and the radiologist suspected duodenal perforation.
Intraoperative finding.
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Only when removing the liver retractor on the anterior side of the III, liver segment ruptured, but otherwise, normally appearing bile duct was found with bile secretion into the peritoneal cavity (Figure 4).
Cholangiography:no aberrant intrahepatic bile ducts are detected.
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A cholangiography was performed which excluded the presence of any aberrant intrahepatic bile ducts (Figure 5).