EUS - ERCP Interface for a large CBD stone
Brief:
EUS - ERCP Interface for a large CBD stone
Description:
TAKE HOME MESSAGE
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Role of EUS sos ERCP cannot be over emphasized in this case. Any patient with recurrent cholangitis and unknown etiology can benefit with a very highly accurate diagnosis on EUS. As you have seen here that despite the large size of the stone 2.0 cms x 1,6 cms we did not require either mechanical lithotripsy or any other advanced techniques. This procedure was performed on an OPD basis and patient was sent home the same evening.
Image:
1.EUS showed massively dilated CBD 20 mm with a large 18mm stone/b>
2.Selective cannulation of bileduct
3.Cholangiogram showed massively dilated CBD 20 mm with a large 18 mm stone
4.Biliary sphincterotomy was performed
5. Biliary balloon sphincteroplasty performed
6. Stone extraction was carried out with balloon catheter
7. Stone was carried out with Dormia basket
8. The large stone was removed approximately measuring 2cm
Posted by Dr. Vipulroy Rathod
Aug 17, 2016
Categories:
Gastrovision Case Capsules
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