Wednesday, December 11, 2013

And another unresectable ampullary tumor

This 55 year old lady had a plastic stent placed for an unresectable ampullary tumor a month back. It had gotten blocked with debris and she had developed cholangitis. We decided to remove the plastic stent and place a metallic stent. A significantly dilated CBD was seen on ERCP (A: white arrow). A partially covered self expanding metallic stent (Wallstent. Boston Scientific) of 6 cm length and 10mm diameter was deployed (B & C: white arrows. D1 & D2 show the duodenal end of the deployed stent).

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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...