PMC7710499_01
Abdominal computed tomography showed a gallbladder stone compressing the common bile duct. CBD: common bile duct, GB: gallbladder.
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The gallbladder wall was enlarged and thickened, and the common bile duct was dilated (Fig. 1).
Endoscopic retrograde cholangiopancreatography showed a defect at the confluence of the bile duct. CBD: common bile duct, GB: gallbladder, CHD: common hepatic duct.
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An endoscopic retrograde biliary drainage (ERBD) tube was inserted (Fig. 2), and antibiotics were given.
The endoscopic retrograde biliary drainage tube was seen in the common bile duct after removal of the stones. CBD: common bile duct, GB: gallbladder.
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Type II Mirrizi syndrome, and the ERBD tube in the common bile duct was confirmed (Fig. 3).
Subtotal cholecystectomy was performed, and the wall of the gallbladder was sutured. CBD: common bile duct.
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To avoid injuring the common hepatic and bile duct, the gallbladder wall at the Hartmann's pouch was sutured using a barbed V-Loc  absorbable wound closure device (Fig. 4). The operation time was 3 h and 20 min, and blood loss was slight.