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. 2020 Mar 2;10:3793. doi: 10.1038/s41598-020-60398-4

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© The Author(s) 2020

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

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Macroscopic appearance of the dilated duodenum. (a) Diseased case (case no. 8). Marked dilation of the descending duodenum was seen. (b) Diseased case (case no. 10). Macroscopic appearance of the duodenum, common bile duct (arrowhead), and pancreas (arrow). The common bile duct entered the descending duodenum at one-third of its length. (c) Diseased case (case no. 10). Macroscopic appearance of the right side of the abdomen; abnormal flexion of the inferior flexure was seen (arrowhead). [DD: descending duodenum; TD: transverse duodenum; ST: stomach; RK: right kidney].