case_images: PMC10924539_01
case_images: CT liver-depicting mass forming hilar tumour with right lobar atrophy and right portal vein thrombosis and central intrahepatic biliary dilatation.
case_images: 10.1177_2050313X241237612-fig1.jpg
case_images: PMC10924539_01_10.1177_2050313X241237612-fig1.jpg
case_images: fig1-2050313X241237612
case_images: Abdominal CT (Figure 1) revealed a potentially resectable mass-forming hilar cholangiocarcinoma.
case_images: Cholangiogram via external biliary drain (EBD) tube.
case_images: 10.1177_2050313X241237612-fig2.jpg
case_images: PMC10924539_01_10.1177_2050313X241237612-fig2.jpg
case_images: fig2-2050313X241237612
case_images: External biliary drainage (EBD) (Figure 2) was performed with a view of prehabilitation and followed by curative resection.
case_images: Fluctuating serum sodium level in the patient.
case_images: 10.1177_2050313X241237612-fig3.jpg
case_images: PMC10924539_01_10.1177_2050313X241237612-fig3.jpg
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case_images: Post-EBD day 2, he developed a high output biliary drain averaging 2500 mL per day, severe hyponatraemia (Na 103 mmol/L) (Figure 3) and hyperkalaemia (K 6.4 mmol/L).
case_images: Intraoperative view after extended right hemi-hepatectomy, segmental portal vein resection and reconstruction.
case_images: 10.1177_2050313X241237612-fig4.jpg
case_images: PMC10924539_01_10.1177_2050313X241237612-fig4.jpg
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case_images: He subsequently underwent an extended right hepatectomy, extrahepatic bile duct resection and Roux-en-Y hepaticojejunostomy (Figures 4 and 5) but unfortunately succumbed to post-hepatectomy liver failure and sepsis.
case_images: Reconstruction with Roux-en-Y hepaticojejunostomy.
case_images: 10.1177_2050313X241237612-fig5.jpg
case_images: PMC10924539_01_10.1177_2050313X241237612-fig5.jpg
case_images: fig5-2050313X241237612
case_images: He subsequently underwent an extended right hepatectomy, extrahepatic bile duct resection and Roux-en-Y hepaticojejunostomy (Figures 4 and 5) but unfortunately succumbed to post-hepatectomy liver failure and sepsis.