case_images: PMC9852054_01
case_images: Abdomen MRI findings of the female with situs Inversus totalis. (A) Inversus of heart; (B) inversus of abdominal viscera (C) vine-tree-like dilatation of the bile ducts; (D) thickening wall of the CBD. MRI, magnetic resonance imaging; CBD, common bile duct.
case_images: fsurg-09-1058580-g001.jpg
case_images: PMC9852054_01_fsurg-09-1058580-g001.jpg
case_images: F1
case_images: Magnetic resonance imaging (MRI) of the abdomen revealed the following: (1) SIT (Figures 1A,B); (2) distended gallbladder; (3) vine-tree-like dilatation of the intrahepatic and extrahepatic bile ducts (Figure 1C); (4) conspicuously cramped lower end of the common bile duct (CBD) and a thickened wall of the lower end of the CBD (Figure 1D); and (5) slight dilatation of the pancreatic duct.
case_images: Regional anatomy in the laparoscopic pancreaticoduodenectomy. CBD, common bile duct; PHA, proper hepatic artery; PV, portal vein; SMV, superior mesenteric vein; SPV, splenic vein.
case_images: fsurg-09-1058580-g002.jpg
case_images: PMC9852054_01_fsurg-09-1058580-g002.jpg
case_images: F2
case_images: Magnetic resonance imaging (MRI) of the abdomen revealed the following: (1) SIT (Figures 1A,B); (2) distended gallbladder; (3) vine-tree-like dilatation of the intrahepatic and extrahepatic bile ducts (Figure 1C); (4) conspicuously cramped lower end of the common bile duct (CBD) and a thickened wall of the lower end of the CBD (Figure 1D); and (5) slight dilatation of the pancreatic duct. After the 20-day full preoperative preparation, the patient underwent LPD therapy (Figure 2).
case_images: Histopathology specimens of adenocarcinoma of the duodenal papilla.
case_images: fsurg-09-1058580-g003.jpg
case_images: PMC9852054_01_fsurg-09-1058580-g003.jpg
case_images: F3