PMC3959300_01
(MRCP) Demonstration of common bile duct sludge with choledochocolonic fistula
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SGOT 78 U/L (nl 5-40); and SGPT 85 U/L (nl 5-40). She was evaluated with magnetic resonance cholangiopancreatography (MRCP), which revealed dense sludge occupying the entire common bile duct (CBD) up to the common hepatic duct [Fig. 1].
a (Surgical Photographs) Demonstration of common bile duct exploration and removal of bezoar, b (Surgical photographs) Demonstration of choledochocolonic fistula, c (Obstructing materials) Bezoar material in the shape of a common bile duct cast removed from the dilated common bile duct by surgery
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CBD and transverse colon which necessitated surgical removal of the material from CBD, dismantling of fistula and closure of colonic rent [Fig. 2a,b,c]. Choledochocolonic fistula caused concretion of fecal matter in the CBD that accumulated and coalesced to form a bezoar.