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Egyptian Liver Journal
Fig. 4 | Egyptian Liver Journal

Fig. 4

From: Iatrogenic bile duct injuries after laparoscopic cholecystectomy: evaluation by MRCP before management

Fig. 4

3D-MRCP (a) post-cholecystectomy showing interrupted extra-hepatic biliary tree 3 cm distal to the biliary carina with traces of fluid signal at its lower end, representing biliary leak “red arrowhead”. Subcapsular collection is noted related to the right hepatic lobe “yellow arrowhead”. Percutaneous drainage catheter is noted “green arrowhead”. Strasberg Type E1; Bismuth-Corlette Type 1 bile duct injury. ERCP image (b) shows an abrupt cutoff of the extrahepatic bile duct with contrast material extravasation indicative of bile leakage

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