This fake case report has been plagarized from previously published works and contains images that are edited and copied from different sources like wikipedia. Figure 3 of this article is a histopathology image of ERCP tissue sample but it is actually a image from wikipedia page of Tubulovillous adenoma published in 2009 and is an image of a surgically ressected tumor.

https://en.m.wikipedia.org/wiki/Tubulovillous_adenoma

The original case report published in 2015 in a local journals

https://www.journalrmc.com/jrmc/download.php?vid=1085

The authors are affliated with University of Arizona and this reflects poorly on the institute and individuals involved in this phony research.

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