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case_images: Pre-operative CT-scan showed cholelithiasis and cholecystitis as well in the left lobe intrahepatic biliary duct dilatation, and cystic duct dilatation.
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case_images: An abdominal CT-scan examination was perform cholelithiasis found accompanied by a dilatation of the both lobe intrahepatic biliary duct and dilated cystic duct (Fig. 1).
case_images: The endoscopic retrograde cholangiopancreatography procedure found common bile duct obstruction and performed plastic stent placement.
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case_images: During the procedure, we found an obstruction at the common bile duct (CBD) caused by single stone size 10 x 8 mm. the stones was successfully extracted using dormia basket and plastic stent placed on CBD (Fig. 2).
case_images: (A) The ultrasound following ERCP showed hepatomegaly with a hematoma in the hepatic right lobe; (B) laparoscopic procedure showed 6 x 4 x 1 cm3 hematoma of hepatic subcapsular right lobe.
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case_images: We decided to stop the procedure and perform abdominal ultrasound (Fig. 3A), it showed right lobe hepatomegaly with a hematoma in the right lobe with size 6 x 4 cm. After 36 h of observation, the clinical sign of this patient is getting better and underwent laparoscopic diagnostic procedure and showed the hematoma at the subcapsular of the right lobe of the liver about 7 x 5 x 0.5 cm3 without pulsating (Fig. 3B).