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  Indian J Med Microbiol
 

Figure 1: Left: In another hospital, the patient had undergone the placement of an SEMS to manage distal biliary obstruction caused by unresectable duodenal papilla cancer. A pancreatic plastic stent had been inserted to prevent pancreatitis. Cholangiography showed that contrast media flowed into the duodenum. The SEMS was patent. Right: Duodenal papilla cancer invaded the distal portion of the duodenum, causing gastrointestinal stricture

Figure 1: Left: In another hospital, the patient had undergone the placement of an SEMS to manage distal biliary obstruction caused by unresectable duodenal papilla cancer. A pancreatic plastic stent had been inserted to prevent pancreatitis. Cholangiography showed that contrast media flowed into the duodenum. The SEMS was patent. Right: Duodenal papilla cancer invaded the distal portion of the duodenum, causing gastrointestinal stricture