case_images: PMC4362179_01
case_images: Axial view of magnetic resonance cholangiopancreatography, show multiple stones (filling defect, arrow) in dilated left intrahepatic bile duct.
case_images: SaudiMedJ-36-104-g001.jpg
case_images: PMC4362179_01_SaudiMedJ-36-104-g001.jpg
case_images: F1
case_images: MRCP showed dilated left intrahepatic biliary ducts, which were filled with multiple large stones (Figure 1).
case_images: Endoscopic view of the site of anastomosis (hepatico-jejunostomy) with bile secretion.
case_images: SaudiMedJ-36-104-g002.jpg
case_images: PMC4362179_01_SaudiMedJ-36-104-g002.jpg
case_images: F2
case_images: USA) was inserted into the enterotomy and advanced to the level of the hepatojejunostomy (Figure 2), which was just approximately 10 cm away from the enterotomy. Under the portable C-arm fluoroscopy (Figure 3), the intrahepatic duct was easily cannulated and cholangiography was performed, which showed evident dilatation of the left intrahepatic bile ducts with multiple stones (Figure 4).
case_images: C-arm fluoroscopy view showing the gastroscope introduced through the anterior abdominal wall (optic trocar incision, black arrow), and site of cannulation (white arrow).
case_images: SaudiMedJ-36-104-g003.jpg
case_images: PMC4362179_01_SaudiMedJ-36-104-g003.jpg
case_images: F3
case_images: USA) was inserted into the enterotomy and advanced to the level of the hepatojejunostomy (Figure 2), which was just approximately 10 cm away from the enterotomy. Under the portable C-arm fluoroscopy (Figure 3), the intrahepatic duct was easily cannulated and cholangiography was performed, which showed evident dilatation of the left intrahepatic bile ducts with multiple stones (Figure 4).
case_images: Intrahepatic duct cholangiogram showing left intrahepatic bile duct dilatation with multiple stones (filling defect, arrow).
case_images: SaudiMedJ-36-104-g004.jpg
case_images: PMC4362179_01_SaudiMedJ-36-104-g004.jpg
case_images: F4
case_images: USA) was inserted into the enterotomy and advanced to the level of the hepatojejunostomy (Figure 2), which was just approximately 10 cm away from the enterotomy. Under the portable C-arm fluoroscopy (Figure 3), the intrahepatic duct was easily cannulated and cholangiography was performed, which showed evident dilatation of the left intrahepatic bile ducts with multiple stones (Figure 4).