PMC6700468_01
Computed tomography (CT) with visualization of metallic fragment near at biliary tract and hepatic hilum.
gr1.jpg
PMC6700468_01_gr1.jpg
fig0005
It was diagnosed cholangitis due to the foreign body like a bullet, located in the hepatic duct after tomography performed for investigation (Fig. 1).
Control radiography after ERCP with the biliary duct stent.
gr2.jpg
PMC6700468_01_gr2.jpg
fig0010
Also, radiography was realized just after the procedure (Fig. 2).
Intraoperative Cholangiography examination evidencing ballistic projectile inside of biliary tract.
gr3.jpg
PMC6700468_01_gr3.jpg
fig0015
In November of 2018, 45 days after ERCP, it was performed elective surgery for the bullet removal after its visualization by cholangiography in the operating room, in choledochal, through a choledoctomy (Fig. 3, Fig. 4).