This was a 45 year old lady with an ampullary tumor suggested on he CT scan. The growth was obvious on ERCP (A: green arrow). Contrast injection during ERCP outlined a dilated CBD and intrahepatic biliary channels (B: green arrows) and a stricture in the distal CBD (B: white arrow). A 10 French diameter plastic stent of 10cm length was passed (C: white arrows).
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