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Percutaneous transhepatic biliary drain (PTBD) demonstrating segmental filling of the right intrahepatic ducts (A) in the patient at 3 years post-Whipple for benign intraductal papillary mucinous neoplasm. (B) Endoscopic view of PTBD obtained with a double-balloon enteroscope. (C) Cholangiogram demonstrates a pus-filled, obstructed left system treated with multiple left and right intrahepatic stents (D) in a patient with sepsis and profound coagulopathy.
