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Surgical Case Reports
Fig. 1 | Surgical Case Reports

Fig. 1

From: Endoscopic biliary drainage as a bridging procedure to single-stage surgery for perforated choledochal cyst: a case report and review of the literature

Fig. 1

Preoperative imaging findings. a Urgent contrast-enhanced abdominal computed tomography scan, showing a huge cyst with hemorrhaging in the common bile duct (CBD) and a defect of the contrast medium at the right-side wall of the CBD (arrowheads). Fluid collection around the CBD, mainly in the retroperitoneal space, also is observed. b Endoscopic retrograde cholangiopancreatogram, showing leakage of the contrast medium from the right-side wall of the dilated CBD (arrowheads) with anomalous pancreaticobiliary ductal union (arrows). c Cholangiogram taken by the nasal biliary drainage tube, showing dilation of both intra- and extrahepatic bile ducts, indicating a type IVa choledochal cyst according to Todani’s classification

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