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Endoscopic cholangiopancreatography. (A) Fluoroscopy image demonstrated a mirror image to the expected duodenoscope position in a SIT patient. (B) Cholangiogram demonstrating proximal CBD dilation and distal stricture. (C) Double pig tail plastic stent placed in the CBD. (D) Tissue biopsy and brushing for histologic and cytology evaluation. CBD, common bile duct; SIT, situs inversus totalis.
