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Fig. 2 | Surgical Case Reports

Fig. 2

From: Infantile Kaposiform hemangioendothelioma in a female patient complicated with severe obstructed jaundice: a case report

Fig. 2

Intraoperative findings of second operation. A The GB appears quite distended with white bile. B Intraoperative cholecystography revealed that the CD is completely obstructed (arrow), and intraoperative intrahepatic cholangiography revealed narrowing of the bile duct around the junction of the CD along the hepatoduodenal ligament (arrowhead). CBD, common bile duct; CD, cystic duct; CHD, common hepatic duct; GB, gallbladder; RASD, right anterior segment duct; RPSD, right posterior segment duct. C Area around the junction of the CD and CHD. The CD was resected as distally as possible (arrow). CD, cystic duct; CHD, common hepatic duct; HDL, hepatoduodenal ligament. D Hepaticojejunostomy performed in Roux-en-Y fashion. The jejunum was anastomosed with the ventral wall of the CHD. A 4-Fr hepatic drainage tube was placed in Witzel fashion (B) and a 15-Fr drainage tube was inserted via the Winslow foramen (W)

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