This 54 year old lady had a dilated gallbladder compressing the mid CBD upto the confluence (A: MRCP & B: CT scan ; Red arrows showing the dilated gallbladder. Blue arrows show the compression at the confluence and green arrows show dilated intrahepatic channels. C: CT scan; Red arrows marking the gallbladder). Contrast injection on ERCP outlined the narrowing in the CBD (D: black arrows) and dilated intrahepatic ducts. A stent assembly was placed across the affected segment (D). We passed a 15 cm plastic stent of 10 French diameter (E: white arrows show the stent loaded on its assembly. F: Black arrows show the stent passed across the structured segment and into the dilated intrahepatic channels)
