case_images: PMC8598330_01
case_images: Abdominal ultrasound showing (a) dilated common bile duct (white arrow) (b) on the 12th hospital day normal appearance of common bile duct (arrow).
case_images: CRIHEP2021-2420668.001.jpg
case_images: PMC8598330_01_CRIHEP2021-2420668.001.jpg
case_images: fig1
case_images: Real-time sonography of the abdomen indicated a dilated common bile duct (CBD; Figure 1(a)), but the gallbladder, liver, pancreas, spleen, and both kidneys appeared normal. CMV antibodies (IgM 400 and IgG 500). pp65 antigen was also positive, and real-time polymerase chain reaction (PCR) confirmed the presence of CMV DNA. Control sonography of the abdominal organs showed that the CBD had a normal appearance (Figure 1(b)).
case_images: MRI image showing (a) dilation of hepatic and common bile duct (white arrows). MRCP image showing (b) full-length dilation of biliary tree (arrows).
case_images: CRIHEP2021-2420668.002.jpg
case_images: PMC8598330_01_CRIHEP2021-2420668.002.jpg
case_images: fig2
case_images: Magnetic resonance cholangiopancreatography (MRCP) confirmed whole-length dilatation of the biliary tree and excluded choledocholithiasis (Figure 2).