case_images: PMC5422734_01
case_images: Magnetic resonance cholangiopancreatography showing a long filling defect (arrow) in the extrahepatic ducts suspicious for biliary cast.
case_images: crg-0011-0207-g01.jpg
case_images: PMC5422734_01_crg-0011-0207-g01.jpg
case_images: F1
case_images: These findings were consistent with BCS (Fig. 1).
case_images: Endoscopic retrograde cholangiopancreatography confirming the presence of a filling defect (arrow) in the slightly dilated extrahepatic ducts.
case_images: crg-0011-0207-g02.jpg
case_images: PMC5422734_01_crg-0011-0207-g02.jpg
case_images: F2
case_images: Endoscopic retrograde cholangiopancreatography confirmed the magnetic resonance cholangiopancreatography findings (Fig. 2), and endoscopic therapy was performed.
case_images: Endoscopic view of the biliary cast in the duodenum after sphincterotomy and balloon-assisted extraction.
case_images: crg-0011-0207-g03.jpg
case_images: PMC5422734_01_crg-0011-0207-g03.jpg
case_images: F3
case_images: After biliary sphincterotomy, a stone retrieval balloon was passed into the bile duct and positioned below the main hepatic confluence, inflated, and withdrawn distally to extract the cast (Fig. 3).