This 38 year old lady had developed obstructive jaundice a few months after undergoing cholecystectomy. The ultrasound report indicated a single stone in the distal CBD. Her cholangiogram outlined a single large stone seen as a negative shadow just above the scope (A: white arrow). The surgical clips from her cholecystectomy were also visible (A: green arrow). We did a papillotomy and we're doing a routine check of adequacy of the papillotomy by withdrawing a fully open sphincterotome. That apparently was enough to pull the stone out (B: white arrow shows the stone and the sphincterotome in the duodenal lumen). We did a routine sweep of the CBD with an extraction balloon, followed by an occlusion cholangiogram with contrast injection over a fully inflated balloon in the distal CBD (C: white arrow shows the inflated balloon) which showed no negative shadows.
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