PMC10426438_01
Endoscopic retrograde cholangio-pancreatography (ERCP) image. The common bile duct shows purulent secretions (marked by red arrow).
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We performed an esophagogastroduodenoscopy, which included an endoscopic retrograde cholangiography, and observed purulent secretion from the common bile duct (Figure 1).
Important clinical indicators in case 1. (A) Liver function indicators. (B) Renal function indicators. (C) Blood/Infection indicators. (D) Coagulation indicators.
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The relevant clinical indicators are listed in Figure 2.
Computer tomography of the abdomen. Two areas of the right hepatic lobe have liver abscesses and both contain air (marked by red arrows).
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CT detected a 9x3.5 cm abscess with entrapped air in liver segment VI and a 4x3.5 cm abscess with entrapped air in liver segment VII (Figure 3). CT was repeated after puncture and drainage of the patient's two liver abscesses (Figure 4).
Computed tomography of the abdomen after drainage of liver abscess. Liver abscesses in both areas of the right hepatic lobe have shrunk (marked by red arrows).
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CT detected a 9x3.5 cm abscess with entrapped air in liver segment VI and a 4x3.5 cm abscess with entrapped air in liver segment VII (Figure 3). CT was repeated after puncture and drainage of the patient's two liver abscesses (Figure 4).
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Computer tomography of the abdomen. The right lobe of the liver shows an inflated area (marked by a red arrow) and is accompanied by perihepatic fluid exudate.
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CT of the abdomen revealed a gas-filled area in the seventh liver segment with perihepatic fluid exudate (Figure 5).
Plain film of the abdomen. There is a crescent-shaped free gas formation under the diaphragm (marked with a red arrow).
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Abdominal X-ray showed subdiaphragmatic free gas (Figure 6).
Important clinical indicators in case 2. (A) Liver function indicators. (B) Renal function indicators. (C) Blood indicators. (D) Coagulation indicators.
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The relevant clinical indicators are listed in Figure 7.