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Biliary dilatation in a 67-year-old woman: seeing is believing
  1. Peng Pan,
  2. Sheng-bing Zhao,
  3. Shuling Wang,
  4. Zhaoshen Li,
  5. Yu Bai
  1. Department of Gastroenterology, Changhai Hospital, Second Military Medical University/Naval Medical University, Shanghai, China
  1. Correspondence to Dr Zhaoshen Li and Dr Yu Bai, Department of Gastroenterology, Changhai Hospital, Second Military Medical University/Naval Medical University, Shanghai, 200433, China; li.zhaoshen{at}hotmail.com, baiyu1998{at}hotmail.com

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Clinical presentation

A 67-year-old woman presented with paroxysmal epigastric pain for 3 months, without jaundice. She gave a history of cholecystectomy. Physical examination and blood tests were unremarkable. Magnetic resonance cholangiopancreatography showed cystic dilatation of the common bile duct (CBD), intrahepatic and extrahepatic bile duct dilatation and suspicious intrahepatic bile duct stones (figure 1). CT scan showed intrahepatic and extrahepatic bile duct dilatation and multiple intrahepatic bile duct stones (figure 2).

Figure 1

Magnetic resonance cholangiopancreatography showed cystic dilatation of the common bile duct, intrahepatic …

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