case_images: PMC8138231_01
case_images: Endoscopic retrograde cholangiopancreatography cholangiogram revealing a 10-mm mid-common bile duct stricture with concomitant intrahepatic duct and suprapapillary dilation; no filling defect was noted.
case_images: crg-0015-0456-g01.jpg
case_images: PMC8138231_01_crg-0015-0456-g01.jpg
case_images: F1
case_images: We reported the following ERCP findings: after CBD cannulation, contrast material was injected with the cholangiography revealing a 10-mm mid-CBD stricture with concomitant intrahepatic duct and suprapapillary dilation up to 17 mm; no filling defect was noted (Fig. 1).
case_images: a Transesophageal color Doppler showing the interatrial shunt due to the presence of patent foramen ovale. b Transesophageal bubble study confirming the interatrial shunt due to the presence of patent foramen ovale.
case_images: crg-0015-0456-g02.jpg
case_images: PMC8138231_01_crg-0015-0456-g02.jpg
case_images: F2
case_images: A bedside transesophageal echocardiogram bubble study was undertaken that demonstrated a patent foramen ovale (Fig. 2a, b).
case_images: Head computed tomography revealing an extensive hypodense lesion in the right parieto-occipital lobe, indicative of an extensive ischemic infarction.
case_images: crg-0015-0456-g03.jpg
case_images: PMC8138231_01_crg-0015-0456-g03.jpg
case_images: F3
case_images: An emergency head computed tomography followed revealing no air but an extensive hypodense lesion in the right parieto-occipital lobe, indicating an extensive ischemic infarction (Fig. 3).