Use of color Doppler ultrasonography in the diagnosis of anomalous connection in pancreatobiliary disease

Figure 3 Case with gallbladder hyperplasia with ACPBD. A: Gallbladder wall thickening was observed by gray-scale ultrasound; B: Color Doppler ultrasound revealed abundant blood flow within the hypertrophic gallbladder wall close to the hepatic bed. The peak gallbladder wall blood flow velocity was 44.2 cm/s by fast Fourier transform analysis of blood flow; C: Endoscopic ultrasonography shows the pancreatic duct (PD) and bile duct (BD) connection (arrow head) beyond the duodenal wall and within the pancreatic parenchyma. This is one of the cases with ACPBD detected in the prospective study (ACPBD, anomalous connection in pancreatobiliary disease).