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Insights into Imaging
Fig. 19 | Insights into Imaging

Fig. 19

From: Imaging assessment after pancreaticoduodenectomy: reconstruction techniques—normal findings and complications

Fig. 19

Biliary fistula 67-year-old female patient with increased fluid drainage after 60 days of pancreaticoduodenectomy due to ampuloma. (a, b, c) Axial and oblique sagittal portal venous phase CT scan. The intrahepatic biliary duct shows dilatation and fluid level within (white arrows in a and c). A collection in the surgical bed (empty arrow in b and c) and biliary connection (curved arrow in c) is also shown. Drainage analysis disclosed high bilirubin levels, which confirms the diagnosis of biliary fistula

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