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

Figure 5 Cholangiogram obtained after contrast injection through the access needle into the left intrahepatic duct showed moderately to severely dilated left intrahepatic duct and common bile duct with the amorphous intraluminal filling consistent with the endoscopic retrograde cholangiopancreatography finding and the metal stent (blue arrow) previously inserted into the choledochogastric fistula for facilitating endoscopic suction of mucin through the stent was in place (A, B).