PMC9852054_01
Abdomen MRI findings of the female with situs Inversus totalis. (A) Inversus of heart; (B) inversus of abdominal viscera (C) vine-tree-like dilatation of the bile ducts; (D) thickening wall of the CBD. MRI, magnetic resonance imaging; CBD, common bile duct.
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F1
Magnetic resonance imaging (MRI) of the abdomen revealed the following: (1) SIT (Figures 1A,B); (2) distended gallbladder; (3) vine-tree-like dilatation of the intrahepatic and extrahepatic bile ducts (Figure 1C); (4) conspicuously cramped lower end of the common bile duct (CBD) and a thickened wall of the lower end of the CBD (Figure 1D); and (5) slight dilatation of the pancreatic duct.
Regional anatomy in the laparoscopic pancreaticoduodenectomy. CBD, common bile duct; PHA, proper hepatic artery; PV, portal vein; SMV, superior mesenteric vein; SPV, splenic vein.
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F2
Magnetic resonance imaging (MRI) of the abdomen revealed the following: (1) SIT (Figures 1A,B); (2) distended gallbladder; (3) vine-tree-like dilatation of the intrahepatic and extrahepatic bile ducts (Figure 1C); (4) conspicuously cramped lower end of the common bile duct (CBD) and a thickened wall of the lower end of the CBD (Figure 1D); and (5) slight dilatation of the pancreatic duct. After the 20-day full preoperative preparation, the patient underwent LPD therapy (Figure 2).
Histopathology specimens of adenocarcinoma of the duodenal papilla.
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F3