A 50 year old lady had come for CBD stone removal before undergoing cholecystectomy. The MRCP showed a stone in the distal CBD (A: green arrow) and gallbladder calculi (A: red arrow) and a dilated CBD (A: yellow arrow). Contrast injection on ERCP showed the distal CBD stone as in the MRCP and another negative shadow above the ERCP scope (B: green arrows marking the stones and yellow arrow showing a dilated CBD). The distal stone was removed by the papillotome (C: green arrow shows the stone and red arrow marks the papillotome). The CBD was swept with balloon (D: green arrow shows the inflated balloon) and the second stone was also removed (E: green arrows show both the stones in the duodenal lumen).
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