PMC4362179_01
Axial view of magnetic resonance cholangiopancreatography, show multiple stones (filling defect, arrow) in dilated left intrahepatic bile duct.
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F1
MRCP showed dilated left intrahepatic biliary ducts, which were filled with multiple large stones (Figure 1).
Endoscopic view of the site of anastomosis (hepatico-jejunostomy) with bile secretion.
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F2
USA) was inserted into the enterotomy and advanced to the level of the hepatojejunostomy (Figure 2), which was just approximately 10 cm away from the enterotomy. Under the portable C-arm fluoroscopy (Figure 3), the intrahepatic duct was easily cannulated and cholangiography was performed, which showed evident dilatation of the left intrahepatic bile ducts with multiple stones (Figure 4).
C-arm fluoroscopy view showing the gastroscope introduced through the anterior abdominal wall (optic trocar incision, black arrow), and site of cannulation (white arrow).
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F3
USA) was inserted into the enterotomy and advanced to the level of the hepatojejunostomy (Figure 2), which was just approximately 10 cm away from the enterotomy. Under the portable C-arm fluoroscopy (Figure 3), the intrahepatic duct was easily cannulated and cholangiography was performed, which showed evident dilatation of the left intrahepatic bile ducts with multiple stones (Figure 4).
Intrahepatic duct cholangiogram showing left intrahepatic bile duct dilatation with multiple stones (filling defect, arrow).
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F4
USA) was inserted into the enterotomy and advanced to the level of the hepatojejunostomy (Figure 2), which was just approximately 10 cm away from the enterotomy. Under the portable C-arm fluoroscopy (Figure 3), the intrahepatic duct was easily cannulated and cholangiography was performed, which showed evident dilatation of the left intrahepatic bile ducts with multiple stones (Figure 4).