A patient presents with right upper quadrant pain – what’s the diagnosis?
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Interesting case Abdominal 24
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Key findings and diagnosis – a cholecystectomy clip has migrated into the distal common bile duct. There is mild biliary epithelial hyperenhancement at the cystic duct and proximal common bile duct, with adjacent mild inflammatory-appearing stranding, suggestive of a cholangitis. Mild oedema of the second part of the duodenum may be due to a secondary concomitant duodenitis
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