PMC5928284_01
Percutaneous transhepatic cholangiogram demonstrating a bile leak from the confluence of the right and left hepatic ducts or proximal common hepatic duct.
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The patient underwent multiple radiologic and endoscopic procedures showing contrast extravasation from the region of the confluence of the right and left hepatic ducts or most proximal common hepatic duct (Fig. 1).
Abnormality at the bifurcation of the common hepatic duct extending into the proximal right and left hepatic ducts with evidence of high-grade stenosis.
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After evaluating the stricture with multiple studies, it appeared that the patient had a high grade stenosis at the confluence of the right and left hepatic ducts that extended proximally into the main right hepatic duct but did not involve the junction of the anterior and posterior sectoral ducts (Fig. 2, Fig. 3, Fig. 4).
Cholangiography of the right hepatic ductal system demonstrating a high-grade residual stenosis at the junction of the posterior sectoral duct, anterior sectoral duct and left bile duct.
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After evaluating the stricture with multiple studies, it appeared that the patient had a high grade stenosis at the confluence of the right and left hepatic ducts that extended proximally into the main right hepatic duct but did not involve the junction of the anterior and posterior sectoral ducts (Fig. 2, Fig. 3, Fig. 4).