PMC7584950_01
CT image showing distended stomach, concentric thickened pylorus without mass lesion, and an atrophic pancreas.
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fig1
Computed tomography (CT) abdomen concurred with endoscopy and biopsy confirmed absence of malignancy (Figure 1).
Intraoperative view showing combined bile duct (probed and black arrow) and pancreatic duct (probed, blue arrow) injuries. Note that the bile stained field and the divided first part of the duodenum (black arrow).
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fig2
Further examination and probing revealed an inadvertent division of both bile and pancreatic ducts (Figure 2).