case_images: PMC11087035_01
case_images: Abdominal ultrasonography showed dilated common bile duct with cast formation.
case_images: crg-2024-0018-0001-537957_F01.jpg
case_images: PMC11087035_01_crg-2024-0018-0001-537957_F01.jpg
case_images: F1
case_images: ALP increased 10 times, and bilirubin was normal). Abdominal ultrasonography showed extrahepatic cholestasis with a common bile duct diameter of 12 mm and hyperechoic longitudinal material within the bile duct (Fig. 1).
case_images: ERCP with biliary cast removal from the bile duct.
case_images: crg-2024-0018-0001-537957_F02.jpg
case_images: PMC11087035_01_crg-2024-0018-0001-537957_F02.jpg
case_images: F2
case_images: We removed multiple biliary casts from the bile ducts via ERCP (Fig. 2).
case_images: Signs of SCC. Cholangiography showed rarefication and destruction (arrows) of the intrahepatic bile ducts.
case_images: crg-2024-0018-0001-537957_F03.jpg
case_images: PMC11087035_01_crg-2024-0018-0001-537957_F03.jpg
case_images: F3
case_images: The cholangiography showed rarefication with multiple segmental stenoses of the intrahepatic bile ducts (Fig. 3, 4).
case_images: Signs of SCC. Cholangiography showed multiple segmental stenosis in the intrahepatic bile ducts (arrows).
case_images: crg-2024-0018-0001-537957_F04.jpg
case_images: PMC11087035_01_crg-2024-0018-0001-537957_F04.jpg
case_images: F4
case_images: The cholangiography showed rarefication with multiple segmental stenoses of the intrahepatic bile ducts (Fig. 3, 4).