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. 2023 Aug 3;10(8):e01119. doi: 10.14309/crj.0000000000001119

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© 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.

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Figure 1. — A, Fluoroscopic image from the first ERCP showing an occluded cystic duct and a mildly dilated CBD up to 8 mm. B, Fluoroscopic image from the second ERCP showing mid-CBD narrowing to 2 mm in the region of prior cholecystectomy clip placement along with upstream dilation to 8–9 mm. C, Fluoroscopic image from the third ERCP showing a 2 cm area of narrowing just below the bifurcation, with a small distance between the upper end of the structure and bifurcation, and diffusely dilated left and right main ducts, demonstrating the area of the lesion. CBD, common bile duct; ERCP, endoscopic retrograde cholangiopancreatography.