case_images: PMC7641679_01
case_images: Axial CT of the abdomen with contrast at the level of the junction of the right and left hepatic ducts demonstrates an 11 mm hyperdensity likely representing a calculus (arrow). This finding is confirmed on the coronal image (arrow) in Figure 2.
case_images: CRIM2020-3265010.001.jpg
case_images: PMC7641679_01_CRIM2020-3265010.001.jpg
case_images: fig1
case_images: There were multiple hyperdensities within the bile ducts particularly at the junction of the right and left hepatic ducts in addition to the distal CBD, consistent with choledocholithiasis (Figures 1-3).
case_images: Coronal CT of the abdomen with contrast demonstrates 11 mm hyperdensity likely representing a calculus at the origin of the common bile duct (arrow).
case_images: CRIM2020-3265010.002.jpg
case_images: PMC7641679_01_CRIM2020-3265010.002.jpg
case_images: fig2
case_images: There were multiple hyperdensities within the bile ducts particularly at the junction of the right and left hepatic ducts in addition to the distal CBD, consistent with choledocholithiasis (Figures 1-3).
case_images: Axial CT of the abdomen with contrast demonstrates intrahepatic biliary dilatation.
case_images: CRIM2020-3265010.003.jpg
case_images: PMC7641679_01_CRIM2020-3265010.003.jpg
case_images: fig3
case_images: There were multiple hyperdensities within the bile ducts particularly at the junction of the right and left hepatic ducts in addition to the distal CBD, consistent with choledocholithiasis (Figures 1-3).
case_images: ERCP images demonstrate multiple filling defects (green arrows) within the common bile duct with moderate dilatation of the extra- and intrahepatic biliary tree. A complete sphincterotomy was performed, and multiple black pigmented stones were removed.
case_images: CRIM2020-3265010.004.jpg
case_images: PMC7641679_01_CRIM2020-3265010.004.jpg
case_images: fig4
case_images: An ERCP confirmed the presence of stones within the bile ducts with multiple pigmented black stones removed (Figure 4).