case_images: PMC3959300_01
case_images: (MRCP) Demonstration of common bile duct sludge with choledochocolonic fistula
case_images: AnnGastroenterol-24-123-g001.jpg
case_images: PMC3959300_01_AnnGastroenterol-24-123-g001.jpg
case_images: F1
case_images: SGOT 78 U/L (nl 5-40); and SGPT 85 U/L (nl 5-40). She was evaluated with magnetic resonance cholangiopancreatography (MRCP), which revealed dense sludge occupying the entire common bile duct (CBD) up to the common hepatic duct [Fig. 1].
case_images: a (Surgical Photographs) Demonstration of common bile duct exploration and removal of bezoar, b (Surgical photographs) Demonstration of choledochocolonic fistula, c (Obstructing materials) Bezoar material in the shape of a common bile duct cast removed from the dilated common bile duct by surgery
case_images: AnnGastroenterol-24-123-g002.jpg
case_images: PMC3959300_01_AnnGastroenterol-24-123-g002.jpg
case_images: F2
case_images: CBD and transverse colon which necessitated surgical removal of the material from CBD, dismantling of fistula and closure of colonic rent [Fig. 2a,b,c]. Choledochocolonic fistula caused concretion of fecal matter in the CBD that accumulated and coalesced to form a bezoar.