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, 6 (9), e00179
eCollection

Obstructive Jaundice Is Not Always Surgical!

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Obstructive Jaundice Is Not Always Surgical!

Chandrasekar Thoguluva Seshadri et al. ACG Case Rep J.

Figures

Figure 1.
Figure 1.
Magnetic resonance cholangiopancreatography revealing short segment distal common bile duct stricture (arrow).
Figure 2.
Figure 2.
Endoscopic ultrasound showing a hypoechoic lesion involving the distal common bile duct (arrow).
Figure 3.
Figure 3.
Endoscopic retrograde cholangiopancreatography showing bulky and prominent papilla with surface ulceration.
Figure 4.
Figure 4.
(A) Hematoxylin & eosin stain of ampulla biopsy showing storiform fibrosis around vessels and glandular structures surrounded by lymphocytes, plasma cells, and eosinophils (400×). (B) Most of the plasma cells were positive for IgG4 (50%) on immunohistochemistry (400×).
Figure 5.
Figure 5.
Repeat magnetic resonance cholangiopancreatography imaging showing a resolution of the distal common bile duct stricture.

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References

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