case_images: PMC3964669_01
case_images: Tubogram through the drain in the left hepatic lobe abscess demonstrating contrast delineating branches of portal vein, second part of duodenum and the pancreatic duct
case_images: rcse9501-e8-01.jpg
case_images: PMC3964669_01_rcse9501-e8-01.jpg
case_images: fig1
case_images: A tubogram through the liver drain showed the residual liver abscess cavity communicating with the first part of duodenum with concomitant pancreatography and portal venography (Fig 1).
case_images: Angiography demonstrating the drain tube abutting the branches of the portal vein and a thrombus in the portal vein branch
case_images: rcse9501-e8-02.jpg
case_images: PMC3964669_01_rcse9501-e8-02.jpg
case_images: fig2
case_images: Conventional angiography through the superior mesenteric artery (portal venous phase) showed the drain to be abutting and possibly compromising the branches of the portal vein with a partial occluding thrombus in the left portal vein (Fig 2).
case_images: Endoscopic retrograde cholangiopancreatography demonstrating pancreatic duct stricture and multiple filling defects (possibly stones)
case_images: rcse9501-e8-03.jpg
case_images: PMC3964669_01_rcse9501-e8-03.jpg
case_images: fig3
case_images: Once he had stabilised, endoscopic retrograde cholangiopancreatography (ERCP) demonstrated an irregularly dilated duct in the body and tail of the pancreas with multiple filling defects and a possible small segment stricture in the head of the pancreas (Fig 3).