Sunday, September 15, 2013

Post cholecystectomy bile duct calculi in a 41 year old gentleman

This patient had undergone cholecystectomy three months earlier and was admitted with obstructive jaundice. Ultrasound showed a 4mm calculus into he distal CBD. ERCP outlined what appeared to be stones into he CBD (A:green arrow). After papillotomy, the CBD was swept with extraction balloon. Occlusion cholangiogram (with inflated balloon in the distal CBD and injection of contrast) showed a clear CBD (B).

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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...