This 70 year old gentleman had a gall bladder mass with involvement of the porta hepatis and duodenum. The ampulla was fairly normal looking when we went in (A:green arrow), though maneuvering into the descending duodenum was a bit tricky. Contrast injection outlined a stricture in the proximal bile duct (B: green arrow) with pre-stenotic dilatation of intrahepatic channels. A self expanding metallic stent assembly was placed across the stricture (C: green arrow) and a 10 cm long stent of 10mm diameter was deployed (D: green arrows and E: green arrow).
I am a gastroenterologist. This is a blog of the ERCPs and related endoscopic procedures carried out at my department. Dr Adnan Salim.
Subscribe to:
Post Comments (Atom)
Second (actually 3rd) ERCP for post transplant biliary leak
This 60 year old gentleman had earlier undergone ERCP and stenting for an anastomotic biliary leakage a few months earlier http://ercp365.bl...
-
This patient was a 20 year old gentleman who had suffered blunt abdominal trauma during motorcycle accident. He developed a pancreatic absce...
-
This 60 year old gentleman had earlier undergone ERCP and stenting for an anastomotic biliary leakage a few months earlier http://ercp365.bl...
-
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...
No comments:
Post a Comment