Abstract
We present a remarkable case of chronic common bile duct (CBD) obstruction resulting in massive dilatation with a dragon like appearance (picture 1). This was a 78 year-old female with a history of cholecystectomy and sphincterotomy over 20 years ago. She had been asymptomatic until recently and presented with jaundice. CT scan findings are shown in pictures 1 and 3. ERCP was performed confirming the CT findings of a large CBD stone with this remarkable upstream dilatation. Due to comorbidities, the stone was bypassed with a stent with resolution of jaundice (picture 2 and 4). Abbreviation, CBD: Common Bile Duct, S: CBD stone, IHD: Intrahepatic ducts.Figure 1Figure 2
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