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.