Intraductal papillary mucinous neoplasm of the bile duct with gastric and duodenal fistulas

Figure 2 Endoscopic finding showed a round ulcerated lesion (A) and extruding white thick mucin from the opening at the lesser curvature of the antrum during endoscopic suction (B) and another wide opening of the fistula with mucin excretion proximal to the original papillary orifice (white arrows) (C, D).