Extensively Invasive Gallbladder Cancer from Intracholecystic Papillary Neoplasm Treated with Pylorus-Preserving Pancreaticoduodenectomy and Extended Cholecystectomy: A Case Report and Literature Review

Figure 3

ERCP and IDUS findings. (a) ERCP showed a filling defect of the distal bile duct; the cystic duct was invisible. (b) IDUS showed that the tumor had invaded the bile duct subserosa (yellow arrow). (c) The patient’s distal bile duct was almost obstructed by the tumor. ERCP: endoscopic retrograde cholangiopancreatography; IDUS: intraductal ultrasonography.

(a)

(b)

(c)