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Surgical Case Reports
Fig. 3 | Surgical Case Reports

Fig. 3

From: Indirect cholecystoduodenal fistula via hepatoduodenal ligament secondary to gangrenous cholecystitis: a case report

Fig. 3

Endoscopic findings. A EGD showed a small fistula orifice at the lesser curvature and anterior wall of the duodenal bulb. B Pus discharge was found from the orifice. C Indigo carmine from the PTGBD tube flowed out to the duodenum. D, E EGD showed that the fistula had gradually shrunk over time. E A granulation polyp was found at the orifice. F Although clips were applied endoscopically, the fistula was not successfully closed. Indigo carmine from the PTGBD tube still flowed out to the duodenum. G EGD revealed the fistula closure 2 months after surgery

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