Monday, October 7, 2013

CBD stone removal prior to cholecystectomy

A 35 year old lady with cholelithiasis and choledocholithiasis, Sent by the surgical team for CBD clearance prior to cholecystectomy.
On ERCP, contrast injection showed a single stone in the CBD as a rounded negative shadow (A : green arrow). We did a wide papillotomy (B: green arrow) followed by removal of the stone with a biliary balloon (C: green arrow points to the inflated balloon & D: green arrow shows the removed stone in the duodenal lumen).

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