case_images: PMC4531647_01
case_images: Ultrasonographic examination of the abdomen revealed marked dilation of extrahepatic bile duct and both intrahepatic ducts and a large echogenic density (20x48 mm) was demonstrated in the common bile duct, casting a shadow
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case_images: On abdominal ultrasound examination, a large echogenic density (20x48 mm) was demonstrated in the common bile duct, which casted a shadow (Figure 1).
case_images: A & B. ERCP demonstrates dilated extrahepatic bile duct and left intrahepatic bile duct. Note a large elongated filling defect with a central metal stent in the extrahepatic bile duct.
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case_images: ERCP revealed the dilated extrahepatic bile duct and left intrahepatic bile duct and the presence of a large elongated freely mobile filling defect suggestive of common bile duct stone containing metal mesh in the distal common bile duct (Figure 2).
case_images: The picture shows the exposed metallic stent conglomerated with the fragments of stone (left) and the distorted covered metal stent with polytetrafluoethylene [PTFE] material after washing (right).
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case_images: The removed stone was soft and dark brown in color (Figure 3A), with metal stent extruding from the ampulla of Vater along with common bile duct stone fragments (Figure 3B).