case_images: PMC11768508_01
case_images: Diagram illustrating the initially proposed surgical therapeutic strategy.
case_images: rjaf029f1.jpg
case_images: PMC11768508_01_rjaf029f1.jpg
case_images: f1
case_images: A Roux-en-Y-shaped hepaticojejunostomy construction was initially considered as the gold standard treatment after multidisciplinary discussion (Fig. 1).
case_images: 3D reconstruction of MR cholangiography.
case_images: rjaf029f2.jpg
case_images: PMC11768508_01_rjaf029f2.jpg
case_images: f2
case_images: However, additional MRI (Fig. 2) revealed complex anatomical and vascular anomalies that significantly altered the therapeutic strategy: a complete atrophy of the dorsal pancreas, associated with chronic portal thrombosis complicated by a portal cavernoma with multiple peribiliary and intrahepatic shunts.