A 35 year old lady had been referred to our center after a bile duct injury during cholecystectomy. A drain and been placed in the sub hepatic space. On ERCP, the placed drainage tube (A: blue arrow) was seen just below the level of confluence (A: yellow arrow). The negative shadows seen in the image are actually air bubbles (A: green arrow). Interestingly, the contrast injected didn't show any leakage per se and went straight into the drainage tube instead. We concluded that the tube must be abutting the biliary tree. A 12 cm 10 French plastic stent was placed to bridge the site of leakage (B: blue arrows).
I am a gastroenterologist. This is a blog of the ERCPs and related endoscopic procedures carried out at my department. Dr Adnan Salim.
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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...

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This 60 year old gentleman had earlier undergone ERCP and stenting for an anastomotic biliary leakage a few months earlier http://ercp365.bl...
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This patient was a 20 year old gentleman who had suffered blunt abdominal trauma during motorcycle accident. He developed a pancreatic absce...
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A healthy 48 year old gentleman with a recent history of jaundice. The MRCP outlined a dilated proximal CBD with a small portion of the dist...
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