This lady had a bile duct stent placed after a post cholecystectomy biliary leak. We had gone in to retrieve the stent. It had unexpectedly migrated into the CBD. Using the traditional snare to grab it was not possible. So we tried a dormia basket first (A: arrows showing the extent of the open basket), which didn't work. We tried a Soehendra stent retriever but couldn't screw the stent. We lastly tried a papillotomy to see if we could further expose the stent. That too didn't help. Finally grabbing the exposed bit by forceps was tried (B: green arrow showing the stent. Red arrow points to the forceps). Again, unsuccessful. We'll reattempt in a couple of weeks.
I am a gastroenterologist. This is a blog of the ERCPs and related endoscopic procedures carried out at my department. Dr Adnan Salim.
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Second (actually 3rd) ERCP for post transplant biliary leak
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This 60 year old gentleman had earlier undergone ERCP and stenting for an anastomotic biliary leakage a few months earlier http://ercp365.bl...
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This 40 year old lady had presented with a stricture of the CBD at the level of the cystic duct following a cholecystectomy. We had passed...
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