A 5-year-old child presented to the hospital because of a history of recurrent episodes of abdominal pain. Evaluation revealed elevated transaminases (alanine aminotransferase, 340 IU/L; aspartate aminotransferase, 400 IU/L). An Ultrasound was performed. (Fig 1a) Thereafter based on the findings an endoscopic cholangiography (ERC) was performed. (Fig 1b).
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