case_images: PMC8481375_01
case_images: Magnetic resonance cholangiopancreatography showing a suspicious filling defect at the upper common bile duct.
case_images: fmed-08-675720-g0001.jpg
case_images: PMC8481375_01_fmed-08-675720-g0001.jpg
case_images: F1
case_images: In addition, MRCP revealed a suspicious filling defect at the upper common bile duct (Figure 1).
case_images: Endoscopic retrograde cholangiopancreatography indicating multiple filling defects at the left hepatic duct and the distal bile ducts were dilated.
case_images: fmed-08-675720-g0002.jpg
case_images: PMC8481375_01_fmed-08-675720-g0002.jpg
case_images: F2
case_images: The cholangiogram showed that multiple filling defects at the left hepatic duct and the distal bile ducts were dilated (Figure 2). After direct visualization of the cholangioscopy confirming complete damage of the lesions (Figure 4 and Supplementary Video 2), the necrotic tissue was extracted using a basket.
case_images: SpyGlass cholangioscopy revealing multiple reddish villous lesions with fine vascular cores on the surface in the left hepatic duct lumen.
case_images: fmed-08-675720-g0003.jpg
case_images: PMC8481375_01_fmed-08-675720-g0003.jpg
case_images: F3
case_images: Direct visualization revealed multiple reddish villous lesions with fine vascular cores on the surface in the left hepatic duct lumen (Figure 3).
case_images: Repeat SpyGlass cholangioscopy confirming no residual villous lesions.
case_images: fmed-08-675720-g0004.jpg
case_images: PMC8481375_01_fmed-08-675720-g0004.jpg
case_images: F4
case_images: After direct visualization of the cholangioscopy confirming complete damage of the lesions (Figure 4 and Supplementary Video 2), the necrotic tissue was extracted using a basket.