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Vascular insult resulting in bilateral strictures at the bifurcation (A). Initially, the jaundice was treated with bilateral stenting (two 7 Fr 10-cm double pigtail stents; B). The patient was maintained with periodic balloon dilation of the right duct (C). Dilation of the left duct was performed with 4-mm balloons at 10 atm (150 psi; D).
