PMC7677667_01
CT findings CT reveals a high absorption area in the CBD (a) and a 20-mm aneurysm in the cystic artery.
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Computed tomography (CT) revealed a high absorption area in the common bile duct (CBD), and hemobilia was suspected (Fig. 1a). Contrast-enhanced CT revealed no active bleeding into the abdominal cavity, but a pseudoaneurysm was observed in the cystic artery (Fig. 1b).
ERCP findings There is no leakage of contrast medium outside the CBD (a) and the ENBD tube was placed on POD 12 (b). Contrast examination using the ENBD tube show no leakage of contrast medium outside the CBD on POD 27 (c).
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Endoscopic retrograde cholangiopancreatography (ERCP) revealed contrast deficiency in the CBD, although there was no leakage of contrast outside the CBD (Fig. 2a). An ENBD tube was inserted on POD 12 (Fig. 2b) and an ERBD stent was placed in the CBD on POD 13. Blood-based investigations revealed that the levels of hepatobiliary enzymes were improving gradually, while contrast examination using the ENBD tube showed no leakage of the contrast medium outside the CBD on POD 27 (Fig. 2c).
The transition of eGFR and the clinical course of the patient from POD 7 to POD 63.
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