case_images: PMC11829754_01
case_images: Intraluminal filling defect within the intrahepatic ducts observed on a coronal SSFSE sequence. SSFSE, single-shot fast spin-echo
case_images: cureus-0017-00000077551-i01.jpg
case_images: PMC11829754_01_cureus-0017-00000077551-i01.jpg
case_images: FIG1
case_images: Suggestion of an additional intraluminal filling defect within the intrahepatic ducts on coronal SSFSE sequence. SSFSE, single-shot fast spin-echo
case_images: cureus-0017-00000077551-i02.jpg
case_images: PMC11829754_01_cureus-0017-00000077551-i02.jpg
case_images: FIG2
case_images: Intraductal sludge
case_images: cureus-0017-00000077551-i03.jpg
case_images: PMC11829754_01_cureus-0017-00000077551-i03.jpg
case_images: FIG3
case_images: EUS revealed intrahepatic biliary ductal dilation with intraductal sludge (Figure 3) and an apparent surgical transection of the proximal common bile duct (CBD; Figure 4).
case_images: Proximal CBD. CBD, common bile duct
case_images: cureus-0017-00000077551-i04.jpg
case_images: PMC11829754_01_cureus-0017-00000077551-i04.jpg
case_images: FIG4
case_images: EUS revealed intrahepatic biliary ductal dilation with intraductal sludge (Figure 3) and an apparent surgical transection of the proximal common bile duct (CBD; Figure 4).
case_images: LAMS with dilation. LAMS, lumen-apposing metal stent
case_images: cureus-0017-00000077551-i05.jpg
case_images: PMC11829754_01_cureus-0017-00000077551-i05.jpg
case_images: FIG5
case_images: After a few days, the advanced endoscopy team successfully created the gastrojejunostomy using LAMS, and the stent was dilated to 18 mm (Figure 5).