This 80 year old gentleman had a CBD stricture secondary to a gallbladder tumor which was involving the distal common hepatic duct. His ampulla had classic openings of the bile duct (A:green arrow) and pancreatic duct (A: red arrow) so I decided to include its photo. These openings aren't always that clearly defined. There was also a small diverticulum supwrior to the ampulla (B: green arrow). Contrast injection outlined a stricture of the common hepatic duct (C: green arrow). The stricture was dilated with a 9 French dilator (D: green arrow) followed by placement of a self expanding metallic stent of 10mm diameter and 100mm length (E: green arrow & F: green arrow).
Note: You can have a detailed 3D view of the gallbladder and associated structure anatomy by clicking on this link http://www.healthline.com/human-body-maps/gallbladder
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