case_images: PMC3014831_01
case_images: ERCP showing irregular wall contours, variable intrahepatic stenoses, and two distal common bile duct stones.
case_images: CRIM2010-536207.001.jpg
case_images: PMC3014831_01_CRIM2010-536207.001.jpg
case_images: fig1
case_images: Then endoscopic retrograde cholangiopancreatography (ERCP) was performed and found multiple irregularities over bilateral intrahepatic bile ducts: common bile duct was not dilated but with two small stones distally (Figure 1).
case_images: Marked expansion of portal tracts by fibrosis and inflammation (low-power view).
case_images: CRIM2010-536207.002.jpg
case_images: PMC3014831_01_CRIM2010-536207.002.jpg
case_images: fig2
case_images: These were consistent with primary sclerosing cholangitis, Stage III (Ludwig) (Figures 2, 3 and 4).
case_images: Concentric fibrosis and portal tract inflammation (intermediate-power view).
case_images: CRIM2010-536207.003.jpg
case_images: PMC3014831_01_CRIM2010-536207.003.jpg
case_images: fig3
case_images: These were consistent with primary sclerosing cholangitis, Stage III (Ludwig) (Figures 2, 3 and 4).
case_images: Atrophic interlobular bile duct (high-power view).
case_images: CRIM2010-536207.004.jpg
case_images: PMC3014831_01_CRIM2010-536207.004.jpg
case_images: fig4
case_images: These were consistent with primary sclerosing cholangitis, Stage III (Ludwig) (Figures 2, 3 and 4).