This 30 year old gentleman had developed biliary pancreatitis. He was treated at another facility a month ago where a papillotomy was done and his CBD was cleared of stones/sludge. A straight 10 French stent of 5 cm length was passed. The pancreatic duct could not be cleared at that time as duct access was unsuccessful. The patient was then referred to us. We were greeted with a post-papillotomy papillary with sign of the previous stent-it must have slipped keeping in mind the papillotomy (perhaps a pigtail stent shoulder been used). We were lucky in gaining rapid pancreatic duct access and congrats injection clearly showed two negative shadows (A: white arrows). The guidewire was then advanced further (B: red arrow) and a balloon assembly was then pushed over it (B: white arrow). The pancreatic duct was the swept with the balloon (C: white arrow shows the inflated balloon in the middle of the pancreatic duct). A lot of small white stones and sludge was removed by multiple balloon sweeps (D1 & D2: red arrows). An occlusion pancreaticogram with the balloon inflated at the distal end of the pancreatic duct (E: white arrow) showed a clear duct with no stones.
We then accessed the CBD (F: blue arrow shows the papillotome in the CBD. White arrow marks the opening of the pancreatic duct in the papilla). Contrast injection outlined a clear bile duct (G: red arrows show the bile duct. White arrows show the contrast in the pancreatic duct). The CBD was swept with balloon.
I am 29 years old and have been diagnosed with breast cancer, ease of treatment and a similar story, except for my first acceptance as a rejection of herbal medicine. I was not part of the Perseid movement and did not really build relationships with any of them, I just believed in their operation. I say this because it was during the use of Dr. Itua herbal medicine that I now attest that herbal medicine is real, the phytotherapy Dr. Itua heal my breast cancer which I suffered for 2 years. Dr. Itua herbal medicine is made of natural herbs, with no side effects, and easy to drink. If you have the same breast cancer or any type of human illness, including HIV / AIDS, herpes cancer,Ovarian Cancer,Pancratics cancers, bladder cancer, bladder cancer, prostate cancer, Glaucoma., Cataracts,Macular degeneration,Cardiovascular disease,Autism,Lung disease.Enlarged prostate,Osteoporosis.Alzheimer's disease,psoriasis ,Tach Diseases,
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